Stephen Mammoottil John, OD in Marietta, GA

Stephen Mammoottil John, OD is a medicare enrolled "Optometrist" provider in Marietta, Georgia. His current practice location is 3960 Shallowford Rd, #a, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 642-4001.

Stephen Mammoottil John is licensed to practice in Georgia (license number 2580) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275763062.

Contact Information

	Stephen Mammoottil John, OD
	3960 Shallowford Rd, #a, Marietta, GA 30062-5058
	(770) 642-4001
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Mammoottil John
Gender	Male
Speciality
Experience	Years
Location	3960 Shallowford Rd, Marietta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephen Mammoottil John attended and graduated from in

NPI Data:

NPI Number: 1275763062
Provider Enumeration Date: 07/15/2009
Last Update Date: 03/08/2011

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Stephen Mammoottil John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275763062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	5872 (Ohio)	Secondary
152W00000X	Optometrist	2580 (Georgia)	Primary

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. Stephen Mammoottil John 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 Address	Practice Location Address
Stephen Mammoottil John, OD 3960 Shallowford Rd, #a, Marietta, GA 30062-5058 Ph: () -	Stephen Mammoottil John, OD 3960 Shallowford Rd, #a, Marietta, GA 30062-5058 Ph: (770) 642-4001

Reviews and Comments

Optometrist in Marietta, GA

Star Optometry Ga Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1750 Powder Springs Rd Sw Ste 210, Marietta, GA 30064 Phone: 770-436-9123
Nicole L Mardak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738
Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212
Northside Eye Partners, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583
Jessica Quynh Dinh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 895 Canton Rd Ne Bldg 100, Marietta, GA 30060 Phone: 770-427-8111 Fax: 770-427-6913
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738

Stephen Mammoottil John, OD - Medicare Optometrist in Marietta, GA