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Organization
ECA OPTICAL, LLC
Active
Organization
ECA OPTICAL, LLC
Active
Parent organization
EYE CONSULTANTS OF ATLANTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CONSULTANTS OF ATLANTA
Authorized official
KIMBERLY PERRY (CREDENTIALING COORDINATOR)
(404) 351-2220
Entity
Organization
Contact information
Practice address
340 BRANDYWINE BLVD, FAYETTEVILLE, GA 30214-1562
(770) 460-4286
Mailing address
3225 CUMBERLAND BLVD SE, STE 900, ATLANTA, GA 30339-6407
(404) 351-2220
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LDO000890
GA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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