- Practice location
- 5975 Roswell RD, Atlanta, GA 30328-4048
- Phone
- 404-252-4111
- Fax
- —
- Last updated
- August 21, 2023
111721 Delaware Acquireco INC. is a healthcare organization based in Atlanta, GA. 111721 Delaware Acquireco INC. practices in Atlanta, GA. The NPI Number for 111721 Delaware Acquireco INC. is 1720862857. The current practice location address for 111721 Delaware Acquireco INC. is 5975 Roswell RD, Atlanta, GA 30328-4048 and can be reached out via phone at 404-252-4111.
Provider Profile Details
- NPI Number
- 1720862857
- Provider Name
- 111721 Delaware Acquireco INC.
- Provider Entity Type
- Organization
- Address
- 5975 Roswell RD, Atlanta, GA 30328-4048
- Phone Number
- 404-252-4111
- Primary Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X
- Organization Subpart
- No
- Authorized Official
- Tyler Wixson · Director Of Retail · 561-212-6707
- Other Names
- The Eye Gallery (Doing Business As)
- Provider Enumeration Date
- August 21, 2023
- Last Update Date
- August 21, 2023
- Certification Date
- August 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5975 Roswell RD
Atlanta, GA 30328-4048 - City
- Atlanta
- State
- Georgia
- Zip
- 30328-4048
- Phone Number
- 404-252-4111
Provider Business Mailing Address Details
- Address
- 5000 SW 75TH Ave Ste 202
Miami, FL 33155-4468 - City
- Miami
- State
- FL
- Zip
- 33155-4468
- Phone Number
- 561-212-6707
License Information
- Taxonomy
- Eyewear Supplier (Equipment, not the service) · 332H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 111721 Delaware Acquireco INC.?
The NPI number of 111721 Delaware Acquireco INC. is 1720862857. It was assigned on August 21, 2023 and is currently active in the NPPES registry.
What is the specialty of 111721 Delaware Acquireco INC.?
111721 Delaware Acquireco INC. is registered under the primary taxonomy Eyewear Supplier (Equipment, not the service) (code 332H00000X).
Where does 111721 Delaware Acquireco INC. practice?
The practice location is 5975 Roswell RD, Atlanta, GA 30328-4048. The office can be reached at 404-252-4111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720862857 directly on the NPPES registry website.