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ECA OPTICAL LLC NPI 1306061114


NPI Information

NPI: 1306061114
Provider Name: ECA OPTICAL, LLC

Doing Business As: ECA OPTICAL, LLC

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
355 TOWER RD NE
SUITE 100
MARIETTA, GA
ZIP 30060
Phone: (770) 424-5669
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ECA OPTICAL, LLC is an eyewear supplier in Marietta, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ECA OPTICAL, LLC NPI is 1306061114. The provider is registered as an organization entity type.
The provider Is Doing Business As Eca Optical, Llc.

The provider's business location address is:

355 TOWER RD NE
SUITE 100
MARIETTA, GA
ZIP 30060-408
Phone: (770) 424-5669
Fax: (770) 424-8454

The provider's authorized official is Rick Rodecker .
The authorized official title is Administrator and has the following contact phone number (404) 351-2220.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 1/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierLDO002052GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14409480004MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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