MARIETTA EYE CLINIC, PA (NPI# 1881088649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881088649 |
| Entity Type | Organization |
| Organization Name | MARIETTA EYE CLINIC, PA |
| Practice Address |
47 Highland Pavilion Ct Suite 101 Hiram GA 30141 |
| Mailing Address |
895 Canton Rd Ne Bldg 100 Marietta GA 30060-8934 |
| Practice Telephone | 7704278111 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | ELLIOTT GATEHOUSE (DIRECTOR) |
| Authorized Official Telephone | 6787840226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 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 |
| 1205857968 | Marietta Eye Clinic, Pa | Clinic/Center | 895 Canton Rd Ne, Building 200, Suite 300, Marietta, GA 30060 | 2006-07-21 |
| 1255333175 | Marietta Eye Clinic, Pa | Optometrist | 895 Canton Rd Ne, Building 100, Marietta, GA 30060 | 2005-08-11 |
| Street Address |
47 HIGHLAND PAVILION CT SUITE 101 |
| City | HIRAM |
| State | GA |
| Zip Code | 30141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699225094 | Integrated Healthcare Center of Hiram LLC | Specialist | 47 Highland Pavilion Ct, Hiram, GA 30141-4119 | 2016-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801255690 | Belinda Lett Baker | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5316 Jones Reserve Walk, Hiram, GA 30141 | 2016-02-22 |
| 1104213339 | Matthew Lee Estes | Nurse Practitioner | 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141 | 2015-04-26 |
| 1902217417 | Hiram Dental Group, PC | Dentist | 5218 Jimmy Lee Smith Parkway, Suite 100, Hiram, GA 30141 | 2014-05-19 |
| 1912340613 | Anuj Patel | Orthopaedic Surgery | 148 Bill Carruth Parkway Suite 120, Hiram, GA 30141 | 2013-04-11 |
| 1619280278 | Thomas Wayne Bloodworth | Obstetrics & Gynecology | 6794 Bill Carruth Parkway, Hiram, GA 30141 | 2010-07-23 |
| 1487970026 | Madelynn Lorraine Speach | Counselor | 44 Darbys Crossing Dr Ste 206c, Hiram, GA 30141 | 2010-04-07 |
| 1679760433 | We Care Md, P.C. | Family Medicine | 5610 Wendy Bagwell Parkway, Suite 103, Hiram, GA 30141 | 2007-09-26 |
| 1811188121 | Holly L Watson | Nurse Practitioner | 156 Hiram Drive, Building B, Hiram, GA 30141 | 2007-08-05 |
| 1285842799 | Restoration Physical Therapy, LLC. | Clinic/Center | 5077 Jimmy Lee Smith Pkwy, Suite 119, Hiram, GA 30141 | 2007-05-18 |
| 1184840589 | Judy Oh | Internal Medicine | 148 Bill Carruth Pkwy Ste 200, Hiram, GA 30141 | 2007-04-17 |
| Find all providers in zip 30141 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
| Find all providers with the same taxonomy | ||||
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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.