Envision Optics LLC
NPI #1215441357 in Brookhaven, Georgia
Provider Information
- NPI Number
- 1215441357
- Entity Type
- Organization
- Organization Name
- Envision Optics LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Nov 28, 2017
- Last Updated
- Feb 19, 2021
Practice Location
- Address
- 3360 BUFORD HWY NE
- City
- Brookhaven
- State
- Georgia
- ZIP Code
- 30329-1710
- Phone
- (404) 448-4745
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING SPECIALIST
- Phone
- (561) 433-6009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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