Marietta Ophthalmology Associates Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

55641 Issued in OH

Legal business name

MARIETTA OPHTHALMOLOGY ASSOCIATES INC

Practice address

210 N Seventh St
Suite 200
Marietta, OH 45750-2244

Phone

(740) 373-8046

Fax

(740) 373-0182

NPI assigned

Aug 15, 2005

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Faye Jones, MD

Title

President

Phone

(740) 373-8046

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1639171010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N 7TH ST",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502244",
            "telephone_number": "740-373-8046",
            "fax_number": "740-373-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N SEVENTH ST",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502244",
            "telephone_number": "740-373-8046",
            "fax_number": "740-373-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA OPHTHALMOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-373-8046",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "55641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672106",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095420000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marietta Memorial Hospital
• Marietta Memorial Hospital
• Marietta Memorial Hospital
• Marietta Occupational Health Partners
• Marietta Opco, LLC (Arbors at Marietta)
• Marietta Pain Services, LLC
• Marietta SNF Healthcare LLC (Marietta Heights Post Acute)
• Marietta Surgery Center
• Marietta Therapy Associates
• Brittany Rae Marlow, NP

• Ophthalmology Physician in Marietta, OH
• Providers in Marietta, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.