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MARIETTA EYE CLINIC, PA
NPI 1275221608
Ophthalmology in Villa Rica, GA

Active since April 25, 2023
209 COOLEY WAY, SUITE 201, VILLA RICA, GA 30180(770) 427-8111 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 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 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

NPI1275221608
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARIETTA EYE CLINIC, PA
Location Address209 COOLEY WAY, SUITE 201Villa Rica, GA 30180-7057
Mailing AddressPo Box 63263Charlotte, NC 28263-3263 · (770) 427-8111
Phone(770) 427-8111
Organization SubpartYes
Authorized OfficialHenry Elliott GatehouseDirector · (770) 427-8111
Enumeration DateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1275221608 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
209 COOLEY WAY, Villa Rica, GA 30180
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JESSICA MORTON
Physical Therapy Assistant
209 COOLEY WAY, UNIT 203
VILLA RICA, GA 30180
Carroll County (770) 917-0826
MARIETTA EYE OPTICAL INC
Ophthalmology
209 COOLEY WAY, SUITE 201
VILLA RICA, GA 30180
Carroll County (770) 427-8111

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.

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.