Organization
111721 DELAWARE ACQUIRECO INC.
Active
Other names
The Eye Gallery
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER WIXSON (DIRECTOR OF RETAIL)
(561) 212-6707
Entity
Organization
Contact information
Practice address
5975 ROSWELL RD, ATLANTA, GA 30328-4048
(404) 252-4111
Mailing address
5000 SW 75TH AVE STE 202, MIAMI, FL 33155-4468
(561) 212-6707
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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