NPI 1477183028

Atl Optical LLC

Organisation Eyewear Supplier Dawsonville, GA

Practice location

Address: 166 Crossroads Blvd STE 100, Dawsonville, GA 30534-7868
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 Manager
Phone: (619) 357-6146

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Georgia →

Registry record

NPI: 1477183028
Entity type: Organization
NPI issued: 23 Jan 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.