Provider Demographics
NPI:1982074993
Name:UNITED OPTICS LLC
Entity Type:Organization
Organization Name:UNITED OPTICS LLC
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-736-3006
Mailing Address - Street 1:1708 SCENIC HWY N
Mailing Address - Street 2:SUITE L
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2225
Mailing Address - Country:US
Mailing Address - Phone:770-736-3006
Mailing Address - Fax:678-344-7222
Practice Address - Street 1:1708 SCENIC HWY N
Practice Address - Street 2:SUITE L
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2225
Practice Address - Country:US
Practice Address - Phone:770-736-3006
Practice Address - Fax:678-344-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty