Organization
B AND B OPTICAL MANAGEMENT, LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SPECIALIST)
(561) 433-6009
Entity
Organization
Contact information
Practice address
16100 SAM RAYBURN TOLLWAY, BUILDING A #130, FRISCO, TX 75035
(469) 217-7300
(561) 828-8367
Mailing address
7579 OLIVIA CT, WAYNESVILLE, OH 45068-7205
(561) 275-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
03/08/2021
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