NPIMap

Organization Active NPI

Eye Deal Optical, LLC.

  • Eyewear Supplier
  • Covington, GA
National Provider Identifier
1104113554
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE DEAL OPTICAL, LLC.
Practice address
5125 Highway 278 NW
Covington, GA 30014-2123
Phone
(770) 788-2325
Fax
(770) 788-2327
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Victor Fields
Title
Manager
Phone
(770) 788-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

5125 Highway 278 NW
Covington, GA 30014-2123

Mailing address

5125 Highway 278 NW
Covington, GA 30014-2123
Phone (770) 788-2325

National Provider Directory

National Provider Directory

Locations

5125 Highway 278 NW
Covington, GA 30014
Phone (770) 788-2325

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1104113554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 HIGHWAY 278 NW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142123",
            "telephone_number": "770-788-2325",
            "fax_number": "770-788-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 HIGHWAY 278 NW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142123",
            "telephone_number": "770-788-2325",
            "fax_number": "770-788-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DEAL OPTICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-788-2325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.