Marietta Eye Optical INC

NPI #1982392312 in Villa Rica, Georgia

Provider Information

NPI Number: 1982392312
Entity Type: Organization
Organization Name: Marietta Eye Optical INC
Subpart: Yes (part of a larger organization)
Parent Organization: MARIETTA EYE OPTICAL INC
Primary Specialty: Ophthalmology
Enumeration Date: Apr 25, 2023
Last Updated: Apr 25, 2023

Practice Location

Address: 209 COOLEY WAY
Address 2: SUITE 201
City: Villa Rica
State: Georgia
ZIP Code: 30180-7057
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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Organizations

Provider Name	Specialty	City
Marietta Eye Clinic, PA Part of Marietta Eye Clinic, PA	Ophthalmology	Villa Rica	AI Deep Dive

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