ROSWELL EYE CLINIC,INC
NPI 1104010594
Optometrist in Roswell, GA
About Roswell Eye Clinic,inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSWELL EYE CLINIC,INC (NPI 1104010594) is a healthcare organization registered as an optometrist in Roswell, Georgia and active in the NPI registry since August 2007. The organization lists Sharon B Moscow, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted 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)
Roswell Eye Clinic,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Roswell Eye Clinic,inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Roswell Eye Clinic,inc's NPI number?
The NPI number for Roswell Eye Clinic,inc is 1104010594. It was assigned to this organization in the NPPES registry on August 29, 2007.
Where is Roswell Eye Clinic,inc located?
Roswell Eye Clinic,inc is located at 1190 Grimes Bridge Rd, Roswell, GA 30075. The listed phone number is (770) 992-7620.
What is Roswell Eye Clinic,inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Roswell Eye Clinic,inc enrolled in Medicare?
Yes. Roswell Eye Clinic,inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Roswell Eye Clinic,inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Optometry, reassign their Medicare billing to Roswell Eye Clinic,inc. 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. Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Roswell Eye Clinic,inc accept?
Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Roswell Eye Clinic,inc 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 Roswell Eye Clinic,inc was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Roswell Eye Clinic,inc · NPI 1104010594
Optometrist organization in Roswell, Georgia. Organization record, active in the CMS NPPES registry since August 29, 2007.
## Identity
- **NPI:** 1104010594 (Entity type: Organization)
- **Enumerated:** August 29, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Sharon Moscow, OPTOMETRIST
## Practice location
- **Address:** 1190 GRIMES BRIDGE RD, Roswell, GA 30075-3930
- **Phone:** (770) 992-7620 · **Fax:** (770) 992-8262
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2011
- **Other identifiers:** Medicare UPIN U84370 (GA); Medicare NSC 0730590001 (GA); Medicaid 00168583A (GA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104010594) · Data from the CMS NPPES public registry.