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Organization

ATL OPTICAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(619) 357-6146
Entity
Organization

Contact information

Practice address
3135 HIGHWAY 278 NE, COVINGTON, GA 30014
(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
08/24/2020
Last updated
02/19/2021
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Product
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  • Eligibility checks
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