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Contact Information

MARIETTA EYE CLINIC, PA
8841 HOSPITAL DR
DOUGLASVILLE, GA30134
 Phone: 770-577-2220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARIETTA EYE CLINIC, PA

NPI Number 1013079375
LBN Legal business name MARIETTA EYE CLINIC, PA
Authorized official HENRY GATEHOUSE - (SENIOR DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 05/15/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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