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MARIETTA VISION PROFESSIONALS
NPI 1083042253
Optometrist - Corneal and Contact Management in Marietta, GA

Active since October 24, 2013
2230 ROSWELL RD, SUITE 100, MARIETTA, GA 30062(678) 903-2579(678) 903-2583 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marietta Vision Professionals NPPES

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

MARIETTA VISION PROFESSIONALS (NPI 1083042253) is a healthcare organization registered as a corneal and contact management in Marietta, Georgia and active in the NPI registry since October 2013. The organization lists Paul Suji, President, as its authorized official.

NPPES Registry Identity

NPI1083042253
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameNORTHSIDE EYE PARTNERS, PC
Location Address2230 ROSWELL RD, SUITE 100Marietta, GA 30062-2939
Mailing Address2230 Roswell Rd, Suite 100Marietta, GA 30062-2939 · (678) 903-2579 · Fax (678) 903-2583
Phone(678) 903-2579
Fax(678) 903-2583
Organization SubpartNo
Authorized OfficialPaul SujiPresident · (678) 903-2579
Enumeration DateOctober 24, 2013
Last NPPES UpdateMay 29, 2014
✔ NPI 1083042253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
2230 ROSWELL RD, Marietta, GA 30062
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Other Names 1

Doing Business AsMarietta Vision Professionals

Other Identifiers 1

Medicare NSC7082160001GA

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marietta Vision Professionals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marietta Vision Professionals, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Suji, OD
Optometry
NPI 1447457817
3393 PEACHTREE RD NE SUITE B 128
Atlanta, GA 30326
(404) 233-9296
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northside Eye Partners, PC's NPI number?

The NPI number for Northside Eye Partners, PC is 1083042253. It was assigned to this organization in the NPPES registry on October 24, 2013. The provider is doing business as Marietta Vision Professionals.

Where is Northside Eye Partners, PC located?

Northside Eye Partners, PC is located at 2230 Roswell Rd Suite 100, Marietta, GA 30062. The listed phone number is (678) 903-2579.

What is Northside Eye Partners, PC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Northside Eye Partners, PC enrolled in Medicare?

Yes. Northside Eye Partners, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northside Eye Partners, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Northside Eye Partners, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northside Eye Partners, PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Northside Eye Partners, PC 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 Northside Eye Partners, PC was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.