MEDICARE: FIRST ENVISION OPTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1538686720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST ENVISION OPTICS LLC

Provider Business Mailing Address
First Line	:	1943 PLEASANT HL RD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4625
Country	:	US
Telephone Number	:	404-448-4745
Fax Number	:	561-828-8367

Provider Business Practice Location Address
First Line	:	1943 PLEASANT HILL RD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-4625
Country	:	US
Telephone Number	:	404-448-4745
Fax Number	:	561-828-8367

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	JACKIE BENNETT
Credential	:
Telephone Number	:	561-433-6009

Provider Enumeration Date	:	08/28/2017
Last Update Date	:	02/17/2021

Similar Medicare Providers

1144747239 — ENVISION OPTICS LLC
Practice Location Address:

1943 PLEASANT HILL RD
DULUTH, GA
30096-4625

Practice Phone: 404-448-4745
Practice Fax: 561-828-8367

1619507886 — ATL OPTICAL LLC
Practice Location Address:

1943 PLEASANT HILL RD
DULUTH, GA
30096-4625

Practice Phone: 561-275-2020
Practice Fax: 561-828-8367

1679103048 — MEL OPTICAL LLC
Practice Location Address:

1943 PLEASANT HILL RD
DULUTH, GA
30096-4625

Practice Phone: 561-275-2020
Practice Fax: 561-828-8367

1366115925 — IRIDIAN RAFAELA MARQUINA
Practice Location Address:

3775 VENTURE DR STE M101
DULUTH, GA
30096-5217

Practice Phone: 470-610-4222
Practice Fax:

1497687594 — MAAYAN HEMPHILL RBT
Practice Location Address:

2878 CARDINAL TRCE
DULUTH, GA
30096-3980

Practice Phone: 404-697-5556
Practice Fax:

1649102583 — VISION ONE EYE CARE DULUTH LLC
Practice Location Address:

1630 PLEASANT HILL RD STE 120
DULUTH, GA
30096-5899

Practice Phone: 678-578-7915
Practice Fax: 678-688-9005

Directions to “FIRST ENVISION OPTICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.