Active NPI
Georgia Eye Specialists
- Specialist
- Marietta, GA
National Provider Identifier
1790819407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GEORGIA EYE SPECIALISTS
- Practice address
- 653 Cherokee St NE
Marietta, GA 30060-8911 - Phone
- (770) 419-1393
- Fax
- (770) 419-8188
- NPI assigned
- Mar 15, 2007
- Last updated
- Mar 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan L Benedict, MD
- Title
- Owner
- Phone
- (770) 419-1393
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
653 Cherokee St NE
Marietta, GA 30060-8911
Mailing address
653 Cherokee St NE
Marietta, GA 30060-8911
Phone (770) 419-1393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1156400001 | Other | GA | CIGNA GOVERNMENT SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
653 Cherokee St NE
Marietta, GA 30060
Phone (770) 419-1393
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Marietta, GA
- NPI 1154383438
-
- Ophthalmology Physician
- Marietta, GA
- NPI 1962463570
-
- Optometrist
- Woodstock, GA
- NPI 1588789762
-
- Ophthalmology Physician
- Marietta, GA
- NPI 1528079878
-
- Ophthalmology Physician
- Marietta, GA
- NPI 1285067918
-
- Ophthalmology Physician
- Marietta, GA
- NPI 1457706723
-
- Optician
- Marietta, GA
- NPI 1184744997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1790819407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608911",
"telephone_number": "770-419-1393",
"fax_number": "770-419-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 CHEROKEE ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608911",
"telephone_number": "770-419-1393",
"fax_number": "770-419-8188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA EYE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "BENEDICT",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-419-1393",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES",
"identifier": "1156400001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Georgia Dental Professionals, PC (West Hampton Dental Care)
- Georgia Dental Professionals, PC (Olde Mill Family Dental)
- Georgia Dental Wellness LLC
- Georgia Detox and Recovery, LLC
- Georgia Electro Diagnostic Providers P.C.
- Georgia Healthcare Solutions, LLC. (Brightstar Healthcare)
- Georgia Healthy Minds LLC
- Georgia Home Health Service LLC Dba Brightstar Care
- Georgia Kidney Associates, Inc.
- Georgia Medical Resources Inc (Rotech)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.