Organization
MEL VISION LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING MANAGER)
(505) 365-0979
Entity
Organization
Contact information
Practice address
4700 SE 15TH ST, DEL CITY, OK 73115-3966
(561) 275-2020
(561) 828-8367
Mailing address
2199 GLENMORE LN, SNELLVILLE, GA 30078-5611
(561) 275-2020
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/19/2021
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