MARIETTA EYE CLINIC, PA
NPI 1689736860
Ophthalmology in Marietta, GA

Active since December 14, 2006CLIA 11D2071625 · Waiver
3939 ROSWELL RD, SUITE 100, MARIETTA, GA 30062(770) 977-8000 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 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 1689736860) 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 April 13, 2027 and lists Henry Elliott Gatehouse, Senior Director, as its authorized official.

NPPES Registry Identity

NPI1689736860
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARIETTA EYE CLINIC, PA
Location Address3939 ROSWELL RD, SUITE 100Marietta, GA 30062
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 1689736860 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
3939 ROSWELL RD, Marietta, GA 30062

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

Accepted Insurance

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 11D2071625

Marietta Eye Clinic · Marietta, GA
Active · expires Apr 13, 2027
CLIA Number11D2071625
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorAndre S. Cohen
Laboratory Phone(770) 977-8000
Laboratory LocationMarietta Eye Clinic3939 Roswell Road, Suite 100, Marietta, GA 30062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Psychologist
3939 ROSWELL RD, SUITE 185
MARIETTA, GA 30062
Family Medicine (Geriatric Medicine)
3939 ROSWELL RD, SUITE 240
MARIETTA, GA 30062
Pediatrics (Adolescent Medicine)
3939 ROSWELL RD, SUITE 300
MARIETTA, GA 30062
Clinical Neuropsychologist
3939 ROSWELL RD
MARIETTA, GA 30062
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3939 ROSWELL RD, SUITE 110
MARIETTA, GA 30062
Physical Therapist
3939 ROSWELL RD, SUITE 160
MARIETTA, GA 30062
Pediatrics
3939 ROSWELL RD, SUITE 300
MARIETTA, GA 30062
Naturopath
3939 ROSWELL RD, SUITE 240
MARIETTA, GA 30062

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 1689736860. 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 3939 Roswell Rd Suite 100, Marietta, GA 30062. The listed phone number is (770) 977-8000.

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 11D2071625) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marietta Eye Clinic, PA accept?

Health plans from Alliant Health Plans, Inc. list Marietta Eye Clinic, PA 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 Marietta Eye Clinic, PA was last updated on May 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.