Healthcare Provider Details

I. General information

NPI: 1215853890
Provider Name (Legal Business Name): BEST EYES OPTICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4166 BUFORD HWY NE STE T5
ATLANTA GA
30345-1081
US

IV. Provider business mailing address

3934 BENNIGAN LN
DULUTH GA
30097-8139
US

V. Phone/Fax

Practice location:
  • Phone: 404-855-3888
  • Fax:
Mailing address:
  • Phone: 404-855-3888
  • Fax: 404-855-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIMA IVONNE CLANTON
Title or Position: OWNER
Credential: OPTICIAN
Phone: 404-855-3888