Mel Vision LLC

NPI #1184221103 in Snellville, Georgia

Provider Information

NPI Number
1184221103
Entity Type
Organization
Organization Name
Mel Vision LLC
Primary Specialty
Optometrist
Enumeration Date
Oct 2, 2020
Last Updated
Feb 19, 2021

Practice Location

Address
2199 GLENMORE LN
State
Georgia
ZIP Code
30078-5611
Phone
(561) 275-2020

Authorized Official

Name
JACKIE BENNETT
Title
CREDENTIALING SUPERVISOR
Phone
(561) 612-4531

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier
Optometrist

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