Ecsa Optical Company, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

ME68633 Issued in FL

Legal business name

ECSA OPTICAL COMPANY, LLC

Practice address

1400 US Highway 1 S
St Augustine, FL 32084-4211

Phone

(904) 829-2286

Fax

(904) 829-5447

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Paul W Hund III, MD

Title

Manager

Phone

(904) 829-2286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ecsa Optical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Palm Coast, FL
  • NPI 1114779030

  5698978963

  Same PAC ID
• Ecsa Optical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • St Augustine, FL
  • NPI 1811749724

  5698978963

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Ecsa Optical Company LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Ecsa Optical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Palm Coast, FL
  • NPI 1114779030
  NPD tax ID
• Ecsa Optical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Palatka, FL
  • NPI 1407608326
  NPD tax ID
• Ecsa Optical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • St Augustine, FL
  • NPI 1811749724
  NPD tax ID

Member of 1

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

• Eye Center of St Augustine PA

  • Specialist
  • St Augustine, FL
  • NPI 1275535726

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1982621884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-829-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US HIGHWAY 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844211",
            "telephone_number": "904-829-2286",
            "fax_number": "904-829-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECSA OPTICAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "HUND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-829-2286",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ME68633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Dyer
• Dysphagia Decision Solutions, LL
• East Central Florida Outpatient Imaging, LLC (Saint Augustine Imaging Center)
• Echo Managed Care, LLC
• Ecsa Optical Company, LLC
• Anshernette Deshay Edmond
• Eduardo Dieguez Jr MD PA
• Edward Henry Scarpitti, MD PA
• Franchesca Edwards
• Joseph R Edwards, PT, DPT

• Durable Medical Equipment & Medical Supplies in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.