ECA OPTICAL, LLC (NPI# 1346668662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346668662 |
| Entity Type | Organization |
| Organization Name | ECA OPTICAL, LLC |
| Practice Address |
601-a Professional Drive, Ste 170 Lawrenceville GA 30045 |
| Mailing Address |
3225 Cumberland Blvd Se 900 Atlanta GA 30339-6407 |
| Practice Telephone | 6783231041 |
| Practice Fax Number | 7709620012 |
| Mailing Telephone | 4043512220 |
| Mailing Fax Number | 4043525392 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2015-01-09 |
| Authorized Official Name | KIMBERLY PERRY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4043512220 |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE CONSUTLANTS OF ATLANTA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912396276 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 340 Brandywine Blvd, Fayetteville, GA 30214-1562 | 2015-01-09 |
| 1689918898 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 3225 Cumberland Blvd Se, Ste 800, Atlanta, GA 30339-6407 | 2012-11-15 |
| 1871719385 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 3225 Cumberland Blvd Se, 800, Atlanta, GA 30339-5970 | 2007-04-17 |
| 1306061114 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 355 Tower Rd Ne, Suite 100, Marietta, GA 30060-9408 | 2007-04-16 |
| Street Address |
601-A PROFESSIONAL DRIVE, STE 170 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 1073747697 | Code 3 Medical Transport | Ambulance | 938 Ashton Park Drive Se, Lawrenceville, GA 30045 | 2009-05-11 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624576 | Menard Management LLC | Eyewear Supplier (Equipment, not the service) | 3100 Princeton Pike Bldg 1-2f, Lawrenceville, NJ 08648-2300 | 2020-06-19 |
| 1699106989 | R & P Vision LLC | Eyewear Supplier (Equipment, not the service) | 241 Quaker Bridge Mall, Lawrenceville, NJ 08648 | 2013-12-11 |
| 1891859815 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 205 Quaker Bridge Mall, Lawrenceville, NJ 08648-1900 | 2006-12-21 |
| 1417019894 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 130 Quaker Bridge Mall, Quaker Bridge Mall, Lawrenceville, NJ 08648 | 2006-12-14 |
| 1811059058 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1250 Scenic Hwy Ste 1268, Lawrenceville, GA 30045 | 2006-12-14 |
| 1568418473 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 630 Collins Hill Rd, Lawrenceville, GA 30045-4461 | 2006-05-25 |
| 1922330661 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 205 Quaker Bridge Mall, Lawrenceville, NJ 08648-1900 | 2010-02-05 |
| 1245409945 | Mercer Eye Associates | Eyewear Supplier (Equipment, not the service) | 123 Franklin Corner Rd, Suite 207, Lawrenceville, NJ 08648-2526 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021234 | Bianca Horton Holmes | Eyewear Supplier (Equipment, not the service) | 1085 Buckingham Ter, Fairburn, GA 30213-6481 | 2020-10-20 |
| 1649887886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 331 Newnan Crossing Byp, Newnan, GA 30265-1067 | 2020-09-30 |
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1518513613 | Hendrix Eye Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 864 Central Ave, Demorest, GA 30535-5534 | 2019-08-14 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1255814893 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 5130 Peachtree Pkwy Ste 630, Peachtree Corners, GA 30092-2525 | 2018-09-10 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1508317587 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8000 Mall Pkwy, Lithonia, GA 30038-2542 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on ECA OPTICAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.