Provider Demographics
NPI:1780493916
Name:2SEAS EYE CARE
Entity type:Organization
Organization Name:2SEAS EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-226-1355
Mailing Address - Street 1:861 HOLCOMB BRIDGE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1900
Mailing Address - Country:US
Mailing Address - Phone:678-226-1355
Mailing Address - Fax:
Practice Address - Street 1:861 HOLCOMB BRIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1900
Practice Address - Country:US
Practice Address - Phone:678-226-1355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty