Atl Optical LLC
NPI #1437756459 in Douglasville, Georgia
Provider Information
- NPI Number
- 1437756459
- Entity Type
- Organization
- Organization Name
- Atl Optical LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 2, 2020
- Last Updated
- Feb 19, 2021
Practice Location
- Address
- 9380 THE LANDING DR STE B
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-7177
- Phone
- (561) 275-2020
Authorized Official
- Name
- JACKIE BENNETT
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (561) 612-4531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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