Marietta Eye Clinic, Pa

LBN: Marietta Eye Clinic, Pa
Marietta Eye Clinic, Pa is an health care organization with primary practice located at 100 Old Ball Ground Hwy , Canton GA 30114. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Marietta Eye Clinic, Pa can be contacted via phone (770) 479-2195, or through Gatehouse, Henry Elliott via phone (770) 427-8111.

Contact Information

Primary practice address
100 Old Ball Ground Hwy Canton GA 30114
Phone: (770) 479-2195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gatehouse, Henry Elliott
Phone: (770) 427-8111

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1316009616
LBN Legal business name Marietta Eye Clinic, Pa
DBA Doing business as
Authorized official Gatehouse, Henry Elliott
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated May 15th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers