Organization
SPECTACLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA HALL OD (SOLE MEMBER)
(404) 218-8473
Entity
Organization
Contact information
Practice address
2201 COBB PKWY SE, SMYRNA, GA 30080-7629
(770) 250-7510
(770) 953-4113
Mailing address
509 KEELER WOODS DR NW, MARIETTA, GA 30064-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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