MARIETTA EYE CLINIC, PA (NPI# 1205857968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205857968 |
| Entity Type | Organization |
| Organization Name | MARIETTA EYE CLINIC, PA |
| Other Organization Name | MARIETTA EYE SURGERY |
| Practice Address |
895 Canton Rd Ne Building 200, Suite 300 Marietta GA 30060 |
| Mailing Address |
895 Canton Rd Ne Building 200, Suite 300 Marietta GA 30060-8934 |
| Practice Telephone | 6787840203 |
| Mailing Telephone | 6787840203 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | HENRY ELLIOTT GATEHOUSE (SENIOR DIRECTOR) |
| Authorized Official Telephone | 7704278111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marietta Eye Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1881088649 | Marietta Eye Clinic, Pa | Optometrist | 47 Highland Pavilion Ct, Suite 101, Hiram, GA 30141 | 2015-03-19 |
| 1013079375 | Marietta Eye Clinic, Pa | Optometrist | 8841 Hospital Dr, Douglasville, GA 30134 | 2006-12-14 |
| 1447469507 | Marietta Eye Clinic, Pa | Optometrist | 895 Canton Rd Ne, Building 100, Marietta, GA 30060-8934 | 2007-05-22 |
| 1174685481 | Marietta Eye Clinic, Pa | Optometrist | 2520 Windy Hill Rd Se, Suite 206, Marietta, GA 30067 | 2006-12-14 |
| 1982766218 | Marietta Eye Clinic, Pa | Optometrist | 2453 Powder Springs Rd Sw, Bldg 400, Marietta, GA 30064 | 2006-12-14 |
| 1316009616 | Marietta Eye Clinic, Pa | Optometrist | 100 Old Ball Ground Hwy, Canton, GA 30114 | 2006-12-14 |
| 1689736860 | Marietta Eye Clinic, Pa | Optometrist | 3939 Roswell Rd, Suite 100, Marietta, GA 30062 | 2006-12-14 |
| 1255333175 | Marietta Eye Clinic, Pa | Optometrist | 895 Canton Rd Ne, Building 100, Marietta, GA 30060 | 2005-08-11 |
| Street Address |
895 CANTON RD NE BUILDING 200, SUITE 300 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780685834 | Charles C Ho | Ophthalmology | 895 Canton Rd Ne, Building 100, Marietta, GA 30060-8934 | 2005-08-10 |
| 1538540893 | Aegis Group Practice LLC | Physical Therapist | 895 Canton Rd Ne, Bldg 200, Ste 100, Marietta, GA 30060-8934 | 2015-06-12 |
| 1982002226 | Ambulatory Anesthesia of Atlanta, LLC | Anesthesiology | 895 Canton Rd Ne, Marietta, GA 30060-8934 | 2014-12-19 |
| 1164786976 | Amy Marie Cherof | Ophthalmology | 895 Canton Rd Ne, Bldg 100, Marietta, GA 30060-8934 | 2012-06-26 |
| 1073827895 | Puneet Panda | Ophthalmology | 895 Canton Rd Ne, Bldg 100, Marietta, GA 30060-8934 | 2010-08-04 |
| 1184949687 | Justin Richards Wilkin | Ophthalmology | 895 Canton Rd Ne, Marietta, GA 30060-8934 | 2010-03-29 |
| 1700013653 | Monica Lynch Bratton | Ophthalmology | 895 Canton Rd Ne, Bldg 100, Marietta, GA 30060-8934 | 2009-06-18 |
| 1962668046 | Annal Dhananjayan Meleth | Ophthalmology | 895 Canton Rd Ne, Suite 100, Marietta, GA 30060-8934 | 2008-07-29 |
| 1447469507 | Marietta Eye Clinic, Pa | Optometrist | 895 Canton Rd Ne, Building 100, Marietta, GA 30060-8934 | 2007-05-22 |
| 1770791725 | Allison Anne Dublin | Internal Medicine | 895 Canton Rd Ne, Marietta, GA 30060-8934 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298457 | Northeast Georgia Ophthalmology, LLC | Clinic/Center | 1498 Jesse Jewell Pkwy Se Ste B, Gainesville, GA 30501-3874 | 2020-06-08 |
| 1033755319 | Regional Surgical Specialists, LLC | Clinic/Center | 210 E Lamar St, Americus, GA 31709-3657 | 2019-11-21 |
| 1114251402 | New Hope Eye Center, LLC | Clinic/Center | 2070 Pleasant Hill Rd, Suite 100, Duluth, GA 30096-4659 | 2009-09-21 |
| 1972734226 | Scott Eye Clinic | Clinic/Center | 4075 Marietta Hwy Ste 110, Dallas, GA 30157-3317 | 2009-08-04 |
| 1780820381 | Seaside Surgical, LLC | Clinic/Center | 3303 B Glynn Avenue, Brunswick, GA 31520 | 2009-01-02 |
| 1558407775 | Lca-vision Inc | Clinic/Center | 3175 Satellite Blvd Ste 600, Suite 175, Duluth, GA 30096-9042 | 2007-01-29 |
| 1912052754 | Lca-vision Inc | Clinic/Center | 1 Buckhead Loop, Ste 225, Atlanta, GA 30326 | 2007-01-24 |
| 1386798650 | Lca-vision Inc. | Clinic/Center | 5530 Windward Pkwy, Suite 420, Alpharetta, GA 30004-8969 | 2007-01-23 |
| 1104987957 | Eye Surgery Center of Augusta, LLC | Clinic/Center | 3658 J Dewey Gray Cir, Augusta, GA 30909-6424 | 2006-12-13 |
| 1689643322 | Eye Surgery Center of Albany, LLC | Clinic/Center | 2308 Palmyra Road, Albany, GA 31701-1324 | 2006-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.