National Provider Identifier Database

ATL OPTICAL LLC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

ATL OPTICAL LLC
122 N MORNINGSIDE DR STE 110
CARTERSVILLE, GA30121-2912
Phone: 404-448-4745
Fax: 561-828-8367
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for ATL OPTICAL LLC

NPI Number 1588201248
Legal business name
LBN
ATL OPTICAL LLC
Authorized official JACKIE BENNETT - (CREDENTIALING SUPERVISOR)
Entity Organization
Organization subpart No
Enumeration date 12/02/2019
Last updated 02/19/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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