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MARIETTA EYE CLINIC, PA
NPI 1013079375
Ophthalmology in Douglasville, GA

Active since December 14, 2006CLIA Certified · 6 labs
8841 HOSPITAL DR, DOUGLASVILLE, GA 30134(770) 577-2220 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marietta Eye Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIETTA EYE CLINIC, PA (NPI 1013079375) is a healthcare organization registered as an ophthalmology in Douglasville, Georgia and active in the NPI registry since December 2006. The organization holds 6 active CLIA laboratory certificates and lists Henry Elliott Gatehouse, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1013079375
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARIETTA EYE CLINIC, PA
Location Address8841 HOSPITAL DRDouglasville, GA 30134
Mailing Address895 Canton Rd Ne, Building 100Marietta, GA 30060-8934
Phone(770) 577-2220
Organization SubpartNo
Authorized OfficialHenry Elliott GatehouseSenior Director · (770) 427-8111
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 15, 2018
✔ NPI 1013079375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
8841 HOSPITAL DR, Douglasville, GA 30134
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2071621

Marietta Eye Clinic · Douglasville, GA
Active · expires Jan 15, 2028
CLIA Number11D2071621
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorAndre S. Cohen
Laboratory Phone(770) 577-2220
Laboratory LocationMarietta Eye Clinic8841 Hospital Drive, Douglasville, GA 30134
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D1004717

Marietta Eye Clinic · Marietta, GA
Active · expires Jan 15, 2028
CLIA Number11D1004717
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorAndre S. Cohen
Laboratory Phone(770) 427-8111
Laboratory LocationMarietta Eye Clinic895 Canton Road Suite 100, Marietta, GA 30060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2290117

Marietta Eye Clinic, PA · Villa Rica, GA
Active · expires Sep 20, 2027
CLIA Number11D2290117
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorAndre S. Cohen
Laboratory Phone(770) 427-8111
Laboratory LocationMarietta Eye Clinic, PA209 Cooley Way, Suite 201, Villa Rica, GA 30180
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2328936

Marietta Eye Clinic, PA · Cartersville, GA
Active · expires Aug 18, 2027
CLIA Number11D2328936
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorAndre S. Cohen
Laboratory Phone(770) 427-8111
Laboratory LocationMarietta Eye Clinic, PA399 Market Place Boulevard, Suite 100, Cartersville, GA 30121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2326823

Marietta Eye Clinic, PA · Suwanee, GA
Active · expires Jul 9, 2027
CLIA Number11D2326823
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorAndre Cohen
Laboratory Phone(770) 427-8111
Laboratory LocationMarietta Eye Clinic, PA4025 Johns Creek Pkwy, Suite 200, Suwanee, GA 30024
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2283729

Marietta Eye Clinic, PA · Cumming, GA
Active · expires Jun 12, 2027
CLIA Number11D2283729
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorAndre Cohen
Laboratory Phone(770) 427-8111
Laboratory LocationMarietta Eye Clinic, PA2860 Ronald Reagan Boulevard, Suite 210, Cumming, GA 30041
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIETTA EYE OPTICAL INC
Durable Medical Equipment & Medical Supplies
8841 HOSPITAL DR
DOUGLASVILLE, GA 30134
Douglas County (770) 577-2220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marietta Eye Clinic, PA's NPI number?

The NPI number for Marietta Eye Clinic, PA is 1013079375. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Marietta Eye Clinic, PA located?

Marietta Eye Clinic, PA is located at 8841 Hospital Dr, Douglasville, GA 30134. The listed phone number is (770) 577-2220.

What is Marietta Eye Clinic, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Marietta Eye Clinic, PA hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Marietta Eye Clinic, PA accept?

Health plans from Alliant Health Plans, Inc. list Marietta Eye Clinic, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marietta Eye Clinic, PA was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.