Eye Kandy Lashes Beauty Bar & Boutique

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

COSA051935 Issued in GA

Legal business name

EYE KANDY LASHES BEAUTY BAR & BOUTIQUE

Practice address

2365 Powder Springs Rd SW
Suite 1215
Marietta, GA 30064-4567

Phone

(770) 702-5663

Fax

(678) 902-6833

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Corrine Sharon Knight, AMT, CO,

Title

Owner

Phone

(770) 865-3111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1427423771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 POWDER SPRINGS RD SW",
            "address_2": "SUITE 1215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644567",
            "telephone_number": "770-702-5663",
            "fax_number": "678-902-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 POWDER SPRINGS RD SW",
            "address_2": "SUITE 1215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644567",
            "telephone_number": "770-702-5663",
            "fax_number": "678-902-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE KANDY LASHES BEAUTY BAR & BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CORRINE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-865-3111",
        "authorized_official_credential": "AMT, CO,"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "COSA051935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Marietta, GA
• Providers in Marietta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.