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General NPI Number Information
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NPI Number | 1215853890
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Entity Type | Organization
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Legal Business Name | BEST EYES OPTICAL LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 4166 BUFORD HWY NE STE T5
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City | ATLANTA
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State | GA
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Zip | 30345-1081
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Country | US
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Telephone | 404-855-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 BENNIGAN LN
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City | DULUTH
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State | GA
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Zip | 30097-8139
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Country | US
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Telephone | 404-855-3888
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Fax | 404-855-4388
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DIMA IVONNE CLANTON
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Credential | OPTICIAN
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Telephone | 404-855-3888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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