Organization
MEL OPTICAL LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GARZA (CREDENTIALING MANAGER)
(210) 843-1393
Entity
Organization
Contact information
Practice address
2735 HIGHWAY 54, PEACHTREE CITY, GA 30269-1031
(561) 275-2020
(561) 828-8367
Mailing address
1943 PLEASANT HILL RD, DULUTH, GA 30096-4625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/17/2021
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