Marietta Eye Optical

NPI #1053027326 in Cumming, Georgia

Provider Information

NPI Number: 1053027326
Entity Type: Organization
Organization Name: Marietta Eye Optical
Subpart: Yes (part of a larger organization)
Parent Organization: MARIETTA EYE OPTICAL
Primary Specialty: Ophthalmology
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 2860 RONALD REAGAN BLVD
City: Cumming
State: Georgia
ZIP Code: 30041-6092
Phone: (770) 427-8111

Authorized Official

Name: HENRY ELLIOTT GATEHOUSE
Title: DIRECTOR
Phone: (770) 427-8111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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