Organization
ATL OPTICAL LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 612-4531
Entity
Organization
Contact information
Practice address
1285 GA 138, CONYERS, GA 30013
(404) 448-4745
(561) 828-8367
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/19/2021
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