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Active NPI 1437476868 Individual Practitioner Female Practitioner

Ecclesia Luciana Grant , LDO

Technician/Technologist - Optician • College Park, GA

Professional Overview & Biography Verified Profile Summary

Ecclesia Grant, LDO is a registered healthcare professional specializing in Technician/Technologist - Optician in College Park, GA. Practice services are available at 5534 OLD NATIONAL HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5534 Old National Hwy
Suites 100-B

College Park, GA 303493212

Telephone 4044321772
Fax 4048905574
Associated Practice Facility / Clinic
🏢 Eye Maz N Eye Facility NPI 1871802777

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in College Park, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in College Park, GA (274 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License GA LDO 002273

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 13, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2010

Registered at 5534 OLD NATIONAL HWY, SUITES 100-B, COLLEGE PARK, GA 303493212 (Tel: 4044321772)

📍
Updated Business Mailing Address May 13, 2010

Registered at 165 HIDDEN BROOK CT, ATLANTA, GA 303494440 (Tel: 4044321772)

👤
Provider Name / Credentials Updated May 13, 2010

Recorded as ECCLESIA GRANT, LDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2010

Technician/Technologist (License #LDO 002273 in GA)

🟢
Initial NPI Registration & Enumeration April 25, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437476868
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2010
Last Update: May 13, 2010
Sole Proprietor: Yes

Mailing Address

165 Hidden Brook Ct

Atlanta, GA 303494440

Phone: 4044321772

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.