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MARIETTA EYE CLINIC, PA
NPI 1881088649
Ophthalmology in Hiram, GA

Active since March 19, 2015CLIA Certified · 2 labs
47 HIGHLAND PAVILION CT, SUITE 101, HIRAM, GA 30141(770) 427-8111 Get Directions Write a Review

NPPES record last updated: March 19, 2015. 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 1881088649) is a healthcare organization registered as an ophthalmology in Hiram, Georgia and active in the NPI registry since March 2015. The organization holds 2 active CLIA laboratory certificates and lists Elliott Gatehouse, Director, as its authorized official.

NPPES Registry Identity

NPI1881088649
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMARIETTA EYE CLINIC, PA
Location Address47 HIGHLAND PAVILION CT, SUITE 101Hiram, GA 30141
Mailing Address895 Canton Rd Ne, Bldg 100Marietta, GA 30060-8934
Phone(770) 427-8111
Organization SubpartNo
Authorized OfficialElliott GatehouseDirector · (678) 784-0226
Enumeration DateMarch 19, 2015
✔ NPI 1881088649 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
47 HIGHLAND PAVILION CT, Hiram, GA 30141
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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

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 11D2103177

Marietta Eye Clinic, PA · Hiram, GA
Active · expires Oct 6, 2027
CLIA Number11D2103177
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorAndre S. Cohen
Laboratory Phone(678) 981-1095
Laboratory LocationMarietta Eye Clinic, PA47 Highland Pavilion Court, Suite 101, Hiram, GA 30141
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2071620

Marietta Eye Clinic · Acworth, GA
Active · expires Dec 2, 2027
CLIA Number11D2071620
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorAndre S. Cohen
Laboratory Phone(678) 784-0226
Laboratory LocationMarietta Eye Clinic4450 Calibre Crossing, Suite 1104, Acworth, GA 30101
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 2

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

DR. TIMOTHY CHAD EHMER DC
Chiropractor
47 HIGHLAND PAVILION CT
HIRAM, GA 30141
Paulding County (770) 439-6997
INTEGRATED HEALTHCARE CENTER OF HIRAM LLC
Specialist
47 HIGHLAND PAVILION CT
HIRAM, GA 30141
Paulding County (770) 439-6997

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 1881088649. It was assigned to this organization in the NPPES registry on March 19, 2015.

Where is Marietta Eye Clinic, PA located?

Marietta Eye Clinic, PA is located at 47 Highland Pavilion Ct Suite 101, Hiram, GA 30141. 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.

Does Marietta Eye Clinic, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.