Provider Demographics
NPI:1629222377
Name:ACUITY OPTICAL L.L.C.
Entity Type:Organization
Organization Name:ACUITY OPTICAL L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAQUAEL
Authorized Official - Middle Name:DEVERE
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:404-450-1490
Mailing Address - Street 1:2770 DALE CREEK DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-7209
Mailing Address - Country:US
Mailing Address - Phone:404-450-1490
Mailing Address - Fax:
Practice Address - Street 1:2770 DALE CREEK DR. N.W.
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-6710
Practice Address - Country:US
Practice Address - Phone:404-450-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUITY OPTICAL L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-07
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101003455156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty