MARIETTA EYE CLINIC, PA
NPI 1174685481
Ophthalmology in Marietta, GA

Active since December 14, 2006CLIA 11D2071626 · Waiver
2520 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067(770) 952-6851 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 1174685481) is a healthcare organization registered as an ophthalmology in Marietta, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Henry Elliott Gatehouse, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1174685481
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARIETTA EYE CLINIC, PA
Location Address2520 WINDY HILL RD SE, SUITE 206Marietta, GA 30067
Mailing Address895 Canton Rd Ne, Building 100Marietta, GA 30060-8934
Organization SubpartNo
Authorized OfficialHenry Elliott GatehouseSenior Director · (770) 427-8111
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 15, 2018
NPI 1174685481 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
2520 WINDY HILL RD SE, Marietta, GA 30067

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

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 11D2071626

Marietta Eye Clinic · Marietta, GA
Active · expires Dec 2, 2027
CLIA Number11D2071626
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorAndre S. Cohen
Laboratory Phone(770) 952-6851
Laboratory LocationMarietta Eye Clinic1950 Spectrum Circle, SE, Suite 150, Marietta, GA 30067
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 20

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

Orthopaedic Surgery
2520 WINDY HILL RD SE, SUITE 202
MARIETTA, GA 30067
Family Medicine
2520 WINDY HILL RD SE, SUITE 301
MARIETTA, GA 30067
Clinic/Center (Podiatric)
2520 WINDY HILL RD SE, SUITE 105
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Psychologist
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Psychologist (Clinical)
2520 WINDY HILL RD SE, SUITE 203
MARIETTA, GA 30067
Nurse Practitioner (Pediatrics)
2520 WINDY HILL RD SE, SUITE NUMBER 104
MARIETTA, GA 30067
Internal Medicine (Gastroenterology)
2520 WINDY HILL RD SE, SUITE 102
MARIETTA, GA 30067

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 1174685481. 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 2520 Windy Hill Rd SE Suite 206, Marietta, GA 30067. The listed phone number is (770) 952-6851.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2071626) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.