NPIMap

Organization Active NPI

Eca Optical, LLC

  • Eyewear Supplier
  • Atlanta, GA
National Provider Identifier
1871719385
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ECA OPTICAL, LLC
Doing business as
ECA Optical, LLC
Practice address
3225 Cumberland Blvd SE
800
Atlanta, GA 30339-5970
Phone
(404) 351-2220
Fax
(404) 352-5392
NPI assigned
Apr 17, 2007
Organization subpart
Yes
Parent organization
EYE CONSULTANTS OF ATLANTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Mrs. Kimberly M Perry
Title
Credentialing
Phone
(404) 351-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3225 Cumberland Blvd SE
800
Atlanta, GA 30339-5970

Mailing address

3225 Cumberland Blvd SE
Ste 800
Atlanta, GA 30339-5970
Phone (404) 351-2220

Other names 1

  • ECA Optical, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130604000693 GA DME Supplier - OpticianDME Supplier - Physician - Ophthalmology 6204074149 Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
Eca Optical LLC3 organizations share this tax ID, including this one
Part of
Anthony P Johnson MD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1871719385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395970",
            "telephone_number": "404-351-2220",
            "fax_number": "404-352-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395970",
            "telephone_number": "404-351-2220",
            "fax_number": "404-352-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECA OPTICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CONSULTANTS OF ATLANTA",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "404-351-2220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECA Optical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.