NPI 1144854753
Atl Optical LLC
Practice location
- Address
- 1285 Ga 138, Conyers, GA 30013
- Phone
- (404) 448-4745
- Fax
- (561) 828-8367
- Mailing address
- 1943 Pleasant Hill Rd, Duluth, GA 30096-4625
Authorised official
- Name
- Jackie Bennett
- Title
- Credentialing Supervisor
- Phone
- (561) 612-4531
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1144854753
- Entity type
- Organization
- NPI issued
- 24 Feb 2020
- Record last updated
- 19 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.