MARIETTA EYE OPTICAL
NPI 1053027326
Ophthalmology in Cumming, GA

Q: What is Marietta Eye Optical's NPI number?

The NPI number for Marietta Eye Optical is 1053027326. It was assigned to this organization in the NPPES registry on January 30, 2023.

Q: What is Marietta Eye Optical's specialty?

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

Active since January 30, 2023CLIA 11D2290117 · Waiver

2860 RONALD REAGAN BLVD, CUMMING, GA 30041(770) 427-8111 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Marietta Eye Optical NPPES

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

MARIETTA EYE OPTICAL (NPI 1053027326) is a healthcare organization registered as an ophthalmology in Cumming, Georgia and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Henry Elliott Gatehouse, Director, as its authorized official.

NPPES Registry Identity

NPI1053027326

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameMARIETTA EYE OPTICAL

Location Address2860 RONALD REAGAN BLVDCumming, GA 30041-6092

Mailing AddressPo Box 63328Charlotte, NC 28263-3328 · (770) 427-8111

Phone(770) 427-8111

Organization SubpartYes

Authorized OfficialHenry Elliott GatehouseDirector · (770) 427-8111

Enumeration DateJanuary 30, 2023

NPPES CertifiedJanuary 30, 2023

✔ NPI 1053027326 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

2860 RONALD REAGAN BLVD, Cumming, GA 30041

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Oscar Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 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: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. TROY ROYAL HULL MS, LAT, ATC, OTC

Specialist/Technologist (Athletic Trainer)