MARIETTA EYE CLINIC, PA
NPI 1174685481
Ophthalmology in Marietta, GA
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
Specialties & Licenses 2
Group Practice 1
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 Eye Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
46Medicare enrollment records show 46 clinicians reassign Medicare billing to Marietta Eye Clinic, PA, which bills Medicare for the services they deliver. Of these, 32 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 46Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Marietta Eye Clinic, PA enrolled in Medicare?
Yes. Marietta Eye Clinic, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marietta Eye Clinic, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 2 Medicare specialties reassign their Medicare billing to Marietta Eye Clinic, PA. 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. The largest specialties are Ophthalmology (23) and Optometry (23). Of these, 32 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Marietta Eye Clinic, Pa · NPI 1174685481
Ophthalmology organization in Marietta, Georgia. Organization record, active in the CMS NPPES registry since December 14, 2006.
## Identity
- **NPI:** 1174685481 (Entity type: Organization)
- **Enumerated:** December 14, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Henry Gatehouse, SENIOR DIRECTOR
## Practice location
- **Address:** 2520 WINDY HILL RD SE, SUITE 206, Marietta, GA 30067
- **Phone:** (770) 952-6851
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 46 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (23), Optometry (23); 32 practice within 10 miles; [full list](https://npiprofile.com/npi/1174685481/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174685481) · Data from the CMS NPPES public registry.