Atl Optical LLC
Organization Active NPI Eyewear Supplier · Cumming, GA
NPI 1972274504 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1972274504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- ATL OPTICAL LLC
- Practice address
- 880 Buford Rd Ste a
Cumming, GA 30041-2716 - Phone
- (561) 275-2020
- NPI assigned
- Sep 23, 2021
- Organization subpart
- No
Authorized official
- Name
- Jackie Bennett
- Title
- Credentialing Supervisor
- Phone
- (561) 275-2020
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Atl Optical LLC
Locations
880 Buford Rd
Ste A
Cumming, GA 30041
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
880 Buford Rd Ste a
Cumming, GA 30041-2716
Mailing address
1943 Pleasant Hill Rd
Duluth, GA 30096-4625
Other names
- My EyeLab
Other providers in Cumming, GA
- Association of the Ressurection Sisters of the Needy Care of the Elder
- Hallie Atha
- Athena Medical Imaging, LLC
- Margaret Anne Atkinson
- Atl Hospice and Palliative Care LLC
- Atlanta Addictive Disease and Psychiatry Medicine Assoc
- Atlanta Anesthesia Consultants LLC
- Atlanta Health Associates, Inc.
- Atlanta Rehabilitation and Performance Center, Inc
- Atlanta Sleep Alliance LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.