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Organization

MEL VISION LLC

Active
Other names
My EyeLab
Organization subpart
No

Provider details

NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SUPERVISOR)
(561) 433-6009
Entity
Organization

Contact information

Practice address
1555 US HIGHWAY 380, FRISCO, TX 75033-0175
(956) 335-6476
Mailing address
2199 GLENMORE LN, SNELLVILLE, GA 30078-5611
(956) 335-6476

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
11/01/2021
Last updated
11/01/2021
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