Organization
MEL OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 433-6009
Entity
Organization
Contact information
Practice address
6015 ROSWELL RD, SANDY SPRINGS, GA 30328-4005
(405) 930-3400
Mailing address
2199 GLENMORE LN, SNELLVILLE, GA 30078-5611
(561) 433-6009
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/11/2021
About Stedi
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