P Praxis·MD
● Active Type 1 · Individual

MRS. Ecclesia Luciana Grant, LDO

Technician/Technologist·College Park, GA· NPI 1437476868 · Enumerated 2010 · 16 years on NPI
Grant is 1 of 4 technician/technologist providers in College Park and 1 of 393 in Georgia.
NPI age
16 years
Enumerated 2010-04-25
Primary specialty
Technician/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-05-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 393 active technician/technologist providers in Georgia.

NPI age
16 years
↑ 13 yr above median (3 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Practice location
5534 Old National Hwy, Suites 100-B
College Park, GA 303493212
📞 4044321772fax 4048905574
Mailing address
165 Hidden Brook Ct
Atlanta, GA 303494440
📞 4044321772fax 4048905574

Specialties

  • Technician/Technologist Primary
    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.
    GA license #LDO 002273 taxonomy 156FX1800X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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