Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marietta Eye Clinic, PA

Organization Optometrist · NPI 1396441465

Marietta Eye Clinic, PA is an Optometrist in Roswell, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10485 Alpharetta St
Roswell, GA 30075-3757
Phone: (770) 427-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1396441465
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMarietta Eye Clinic, PA
Authorized official Henry Gatehouse — Director · (770) 427-8111
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023
Mailing addressPo Box 63263, Charlotte, NC 28263-3263

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