NPI 1154085306

Atl Optical LLC

Organisation Eyewear Supplier Atlanta, GA

Practice location

Address: 1671 Howell Mill Rd NW, Atlanta, GA 30318-3118
Phone: (956) 335-6476
Mailing address: 1943 Pleasant Hill Rd, Duluth, GA 30096-4625

Authorised official

Name: Jackie Bennett
Title: Credentialing Supervisor
Phone: (561) 433-6009

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Georgia →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Georgia →

Registry record

NPI: 1154085306
Entity type: Organization
NPI issued: 25 Oct 2021
Record last updated: 25 Oct 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.