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Organization

ECA OPTICAL, LLC

Active
Parent organization
EYE CONSUTLANTS OF ATLANTA
Organization subpart
Yes

Provider details

NPI number
Legal business name
EYE CONSUTLANTS OF ATLANTA
Authorized official
KIMBERLY PERRY (CREDENTIALING COORDINATOR)
(404) 351-2220
Entity
Organization

Contact information

Practice address
601-A PROFESSIONAL DRIVE, STE 170, LAWRENCEVILLE, GA 30045
(678) 323-1041
(770) 962-0012
Mailing address
3225 CUMBERLAND BLVD SE, 900, ATLANTA, GA 30339-6407
(404) 351-2220
(404) 352-5392

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
04/03/2014
Last updated
01/09/2015
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