Organization Active NPI

Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Kennesaw, GA
National Provider Identifier
1073195780
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GA DOCTORS OF OPTOMETRY LLC
Practice address
440 Ernest W Barrett Pkwy NW Ste 21
Kennesaw, GA 30144-4918
Phone
(770) 429-1660
Fax
(770) 429-5509
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Marsich, OD
Title
Owner
Phone
(726) 444-4078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

440 Ernest W Barrett Pkwy NW Ste 21
Kennesaw, GA 30144-4918

Mailing address

19100 Ridgewood Pkwy BLD 1 7TH Floor
San Antonio, TX 78259-1834
Phone (726) 444-4078

National Provider Directory

National Provider Directory

Locations

400 Ernest W Barrett Pkwy NW
Ste 158
Kennesaw, GA 30144
Phone (770) 424-1660

440 Ernest W Barrett Pkwy NW
Ste 21
Kennesaw, GA 30144
Phone (770) 429-1660

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1073195780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19100 RIDGEWOOD PKWY BLD 1 7TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591834",
            "telephone_number": "726-444-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ERNEST W BARRETT PKWY NW STE 21",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444918",
            "telephone_number": "770-429-1660",
            "fax_number": "770-429-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA DOCTORS OF OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "MARSICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "726-444-4078",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.