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Contact Information

MARIETTA EYE CLINIC
4450 CALIBRE CROSSING, NW.
SUITE 1104
ACWORTH, GA30101
 Phone: 678-279-1141
 Fax: 678-279-1147
 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

NPI # 1578795944
LBN Legal business name MARIETTA EYE CLINIC
Authorized official HENRY GATEHOUSE - (SENIOR DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2009
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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