Brilliant Eyes, Llc

NPI 1093948309 - Optometrist - 152W00000X

NPI Details
NPI 1093948309
Enumeration Date 09/02/2009
Last Updated 09/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JANELLE LYNETTE JANELLE
Position OPTOMETRIST
Phone (770) 375-5591
Fax
Practice Location
2451 CUMBERLAND PKWY SE
STE 3667
ATLANTA GA, 30339-6136, US
Phone (770) 375-5591
Fax
Business Location
2451 CUMBERLAND PKWY SE
STE 3667
ATLANTA GA, 30339-6136, US
Phone (770) 375-5591
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Georgia
License Number OPT002350
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According to our database, Brilliant Eyes, Llc NPI is 1093948309, taxonomy code is 152W00000X and license number is OPT002350, license state is located at Georgia. Brilliant Eyes, Llc physically located at 2451 Cumberland Pkwy Se, Atlanta GA, 30339-6136. NPI Number 1033115704 has the healthcare provider type.

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1093948309 NPI number is provided on an as is basis without warranty of any kind. 1093948309 is maintained by the National Plan & Provider Enumeration System. The contents of Brilliant Eyes, Llc are for informational purposes only.