Organization
ENVISION OPTICS LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SPECIALIST)
(561) 433-6009
Entity
Organization
Contact information
Practice address
1021 DOWDY RD, ATHENS, GA 30606-5718
(448) 448-4745
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625
(404) 448-4745
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
02/17/2021
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