Organization
ENVISION OPTICS LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (MANAGED CARE MANAGER)
(561) 720-6423
Entity
Organization
Contact information
Practice address
2802 WATSON BLVD, CENTERVILLE, GA 31028-1235
(956) 335-6476
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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