Marietta Eye Clinic, Pa - Medicare in Marietta, GA

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Marietta Eye Clinic, Pa is a medicare enrolled "Ophthalmology" provider in Marietta, Georgia. Their current practice location is 895 Canton Rd Ne, Building 100, Marietta, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 427-8111.

Marietta Eye Clinic, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Marietta Eye Clinic, Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1255333175.

Contact Information

Marietta Eye Clinic, Pa
895 Canton Rd Ne, Building 100,
Marietta, GA 30060
(770) 427-8111
(770) 499-1643

Map and Direction




Healthcare Provider's Profile

Full NameMarietta Eye Clinic, Pa
TypeFacility
SpecialityOphthalmology
Location895 Canton Rd Ne, Marietta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255333175
  • Provider Enumeration Date: 08/11/2005
  • Last Update Date: 05/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0143210427
  • Enrollment ID: O20040518000057

Medical Identifiers

Medical identifiers for Marietta Eye Clinic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255333175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Marietta Eye Clinic, Pa acts as a billing entity for following providers:
Provider NameMark S Dickinson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457430464
PECOS PAC ID: 4284622671
Enrollment ID: I20040505000927
Provider NameChrista K Lows
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588665699
PECOS PAC ID: 5496734105
Enrollment ID: I20040716000178
Provider NameLakshmana M Kooragayala
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497757496
PECOS PAC ID: 1153302476
Enrollment ID: I20050701000101
Provider NameDenise A Johnson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720060114
PECOS PAC ID: 5890711584
Enrollment ID: I20051021000453
Provider NameAndre S Cohen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1679597884
PECOS PAC ID: 1557304839
Enrollment ID: I20060828000008
Provider NameBrian E Saunders
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1912974700
PECOS PAC ID: 7810094398
Enrollment ID: I20070517000264
Provider NameShunai Jiang
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1265570840
PECOS PAC ID: 0446350797
Enrollment ID: I20070716000349
Provider NameRhonda L Thompson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1245262278
PECOS PAC ID: 6002904877
Enrollment ID: I20071112000387
Provider NameByron A Long
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1225030182
PECOS PAC ID: 5193754877
Enrollment ID: I20080602000472
Provider NamePaul G Mitchell
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1912909813
PECOS PAC ID: 8022047703
Enrollment ID: I20080602000616
Provider NameLeonard M Thurschwell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881696763
PECOS PAC ID: 2163592163
Enrollment ID: I20080603000352
Provider NameCharles C Ho
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1780685834
PECOS PAC ID: 2567491244
Enrollment ID: I20080603000360
Provider NameCara Patterson Robison
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1972750842
PECOS PAC ID: 6103985759
Enrollment ID: I20081111000569
Provider NameLouis M Schlesinger
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1477557957
PECOS PAC ID: 2668651969
Enrollment ID: I20110119000294
Provider NameBrandy Augustine
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457404170
PECOS PAC ID: 7416135991
Enrollment ID: I20110705000368
Provider NameStephen M. John
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275763062
PECOS PAC ID: 3971771106
Enrollment ID: I20110714000248
Provider NameAnnal D Meleth
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1962668046
PECOS PAC ID: 8729229885
Enrollment ID: I20130801000301
Provider NameJustin R Wilkin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1184949687
PECOS PAC ID: 9931345485
Enrollment ID: I20140926002044
Provider NameAllison A Dublin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770791725
PECOS PAC ID: 4880843762
Enrollment ID: I20150507002054
Provider NameAmy Marie Cherof
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1164786976
PECOS PAC ID: 8123268968
Enrollment ID: I20160808001112
Provider NamePuneet Panda
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1073827895
PECOS PAC ID: 7416176839
Enrollment ID: I20160906000538
Provider NameMonica L Bratton
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1700013653
PECOS PAC ID: 9032350434
Enrollment ID: I20170202001643
Provider NameBrittany E Mcneely
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811370331
PECOS PAC ID: 5294022331
Enrollment ID: I20180725003079
Provider NameZakiya O Nicks
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1518122159
PECOS PAC ID: 6507931953
Enrollment ID: I20180816002248
Provider NameKayla E Akers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356791933
PECOS PAC ID: 1355619388
Enrollment ID: I20180921002550
Provider NameDrake Robert Devos
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669902094
PECOS PAC ID: 0648523803
Enrollment ID: I20181105003544
Provider NameJeffrey Tran
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1285098533
PECOS PAC ID: 3274959457
Enrollment ID: I20200818003910
Provider NameCourtney G Cape
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1396398855
PECOS PAC ID: 8022346709
Enrollment ID: I20201006000166
Provider NameBilal K Yousufzai
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1023458916
PECOS PAC ID: 0143463802
Enrollment ID: I20201026000346
Provider NameHayden Matli
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336722800
PECOS PAC ID: 5092104869
Enrollment ID: I20211116003022
Provider NameMahsa Katherine Masoudi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194396309
PECOS PAC ID: 7214322379
Enrollment ID: I20220328001560
Provider NameMark F Morel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720584329
PECOS PAC ID: 7113278771
Enrollment ID: I20220707001735
Provider NameEdward Washington
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1104211283
PECOS PAC ID: 4789970369
Enrollment ID: I20220802001847
Provider NameHolly Carringer Gutierrez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588862205
PECOS PAC ID: 0648360891
Enrollment ID: I20221002000007
Provider NameEmily Laga
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336711944
PECOS PAC ID: 7810373586
Enrollment ID: I20221004000110
Provider NameBryan Thiel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1356845556
PECOS PAC ID: 9739580507
Enrollment ID: I20221010001584
Provider NameRavali Gummi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1033615299
PECOS PAC ID: 5597013334
Enrollment ID: I20221109002114
Provider NameCrystal Ahn Sol
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770219818
PECOS PAC ID: 6800240607
Enrollment ID: I20230927004080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marietta Eye Clinic, Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marietta Eye Clinic, Pa
895 Canton Rd Ne, Building 100,
Marietta, GA 30060-8934

Ph: (770) 427-8111		Marietta Eye Clinic, Pa
895 Canton Rd Ne, Building 100,
Marietta, GA 30060

Ph: (770) 427-8111

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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