ROSWELL EYE SURGERY CENTER – NPI #1780075861
Clinic/Center

ROSWELL EYE SURGERY CENTER is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1780075861 to ROSWELL EYE SURGERY CENTER on February 11, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROSWELL EYE SURGERY CENTER” is a dba name, the actual legal business name for this organization is ROSWELL EYE SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Apr 04, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROSWELL EYE SURGERY CENTER below.

NPI Profile for
ROSWELL EYE SURGERY CENTER, LLC

NPI Number
1780075861
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROSWELL EYE SURGERY CENTER, LLC
Doing Business As (dba): ROSWELL EYE SURGERY CENTER
Primary location
3775 ROSWELL RD STE 175
MARIETTA, GA 30062
Phone: (678) 381-2020 Fax: (678) 381-2015
Mailing address
1034 HAW CREEK CIR STE 100
CUMMING, GA 30041-6513
Phone: (678) 381-2020 Fax: (678) 381-2015
Organization Subpart
No
Authorized Official
MILAN PATEL
PRESIDENT
Phone: (678) 381-2020
Updated
Certification Date
Apr 04, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA 54172

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.