Eye Etc.

LBN: Lil Five Eyes Llc
Eye Etc. is an health care organization with primary practice located at 484 Moreland Ave Ne D Ste, Atlanta GA 30307. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Lil Five Eyes Llc can be contacted via phone (404) 523-3937, or through White, Colay Anquanette via phone (404) 523-3937.

Contact Information

Primary practice address
484 Moreland Ave Ne D Ste Atlanta GA 30307
Phone: (404) 523-3937
Fax: (404) 688-3232
Website:
Map and Directions
Authorized official contact:
Name: White, Colay Anquanette
Phone: (404) 523-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X GA002600 Georgia
Managed Care Organizations / Health Maintenance Organization 302R00000X 002600 Georgia

Profile Details

NPI number 1619409729
LBN Legal business name Lil Five Eyes Llc
DBA Doing business as Eye Etc.
Authorized official White, Colay Anquanette
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2017
Last updated Jun 22nd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619409729 NPPES
Georgia MEDICAID 1619409729

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