EYE CARE CENTERS MANAGEMENT INC NPI 1316094576

NPI Information

NPI: 1316094576
Provider Name: EYE CARE CENTERS MANAGEMENT INC

Doing Business As: CLAYTON EYE CENTER

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1000 CORPORATE CENTER DR STE 100
MORROW, GA
ZIP 30260
Phone: (770) 968-8888
Get Directions

EYE CARE CENTERS MANAGEMENT INC is an eyewear supplier in Morrow, GA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE CARE CENTERS MANAGEMENT INC NPI is 1316094576. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clayton Eye Center.

The provider's business location address is:

1000 CORPORATE CENTER DR STE 100
MORROW, GA
ZIP 30260-106
Phone: (770) 968-8888
Fax: (770) 960-2473

The provider's authorized official is Joon Y Kim .
The authorized official title is President and has the following contact phone number (770) 968-8888.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/3/2015.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	152W00000X	Optometrist			No
2	207W00000X	Ophthalmology			No
3	332H00000X	Eyewear Supplier	0160400001	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GRP936	MEDICARE PIN

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »