Organization
MEL VISION 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
1413 W INTERSTATE 240 SERVICE RD, SUITE E, OKLAHOMA CITY, OK 73159
(405) 930-3400
(561) 828-8367
Mailing address
2199 GLENMORE LN, SNELLVILLE, GA 30078-5611
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
02/19/2021
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