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Contact Information

ATL OPTICAL LLC
1135 HIGHWAY 85 N STE D
FAYETTEVILLE, GA30214-2085
 Phone: 404-448-4745
 Fax: 561-828-8367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ATL OPTICAL LLC

NPI Number 1679103220
LBN Legal business name ATL OPTICAL LLC
Authorized official JACKIE BENNETT - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2020
Last updated 02/19/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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