Organization
ECSA OPTICAL COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
319 W TOWN PL STE 8, ST AUGUSTINE, FL 32092-3102
(904) 940-9200
(904) 810-5687
Mailing address
319 W TOWN PL STE 8, ST AUGUSTINE, FL 32092-3102
(904) 940-9200
(904) 810-5687
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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