MARIETTA EYE CLINIC, PA
NPI 1275221608
Ophthalmology in Villa Rica, 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 1275221608) is a healthcare organization registered as an ophthalmology in Villa Rica, Georgia and active in the NPI registry since April 2023. The organization lists Henry Elliott Gatehouse, 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. 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.
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 1275221608. It was assigned to this organization in the NPPES registry on April 25, 2023.
Where is Marietta Eye Clinic, PA located?
Marietta Eye Clinic, PA is located at 209 Cooley Way Suite 201, Villa Rica, GA 30180. The listed phone number is (770) 427-8111.
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). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marietta Eye Clinic, PA was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 1275221608
Ophthalmology organization in Villa Rica, Georgia. Organization record, active in the CMS NPPES registry since April 25, 2023.
## Identity
- **NPI:** 1275221608 (Entity type: Organization)
- **Enumerated:** April 25, 2023
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** Yes (part of Marietta Eye Clinic, Pa)
- **Authorized official:** Henry Gatehouse, DIRECTOR
## Practice location
- **Address:** 209 COOLEY WAY, SUITE 201, Villa Rica, GA 30180-7057
- **Phone:** (770) 427-8111
## 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); [full list](https://npiprofile.com/npi/1275221608/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1275221608) · Data from the CMS NPPES public registry.