MARIETTA EYE CLINIC, PA – NPI #1629784160
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.

MARIETTA EYE CLINIC, PA is an ophthalmologist located in CUMMING, GA. NPPES has assigned the NPI number 1629784160 to MARIETTA EYE CLINIC, PA on January 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 3 years ago on Mar 09, 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 MARIETTA EYE CLINIC, PA below.

NPI Profile for
MARIETTA EYE CLINIC, PA

NPI Number
1629784160
Enumeration Date

(more than 3 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
MARIETTA EYE CLINIC, PA
Primary location
2860 RONALD REAGAN BLVD STE 210
CUMMING, GA 30041-6092
Phone: (770) 427-8111 Fax:
Mailing address
895 CANTON RD NE
MARIETTA, GA 30060-8934
Phone: (770) 427-8111 Fax:
Organization Subpart
Yes - MARIETTA EYE CLINIC, PA is subpart of another organization.
Authorized Official
HENRY GATEHOUSE
DIRECTOR
Phone: (770) 427-8111
Updated
Certification Date
Mar 09, 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
207W00000X
- Ophthalmology (Primary)
152W00000X
- Optometrist

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.