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

Individual provider Optometrist · NPI 1275763062

Stephen Mammoottil John, OD is an Optometry in Marietta, Georgia. Graduated from University Alabama Birmingham - School of Optometry in 2009, 17 years ago. Practices with Marietta Eye Clinic, PA, a 39-clinician group and accepts Medicare assignment. Licensed in Georgia and Ohio.

Years since qualifying
17
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
GA, OH
In the registry since
2009
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3960 Shallowford Rd #A
Marietta, GA 30062-5058
Phone: (770) 642-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2580 (GA)
Optometrist Taxonomy 152W00000X · Licence 5872 (OH)

Record details

NPI number1275763062
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 15, 2009
Last updated in NPPESMarch 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Marietta Eye Clinic, Pa — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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