Marietta Eye Optical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MARIETTA EYE OPTICAL INC

Practice address

4450 Calibre Crossing, NW.
Suite 1104
Acworth, GA 30101-4108

Phone

(678) 279-1141

Fax

(678) 279-1147

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Tia McEntire

Title

Optical Director

Phone

(678) 784-0242

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1831321207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE",
            "address_2": "BLDG 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608934",
            "telephone_number": "770-427-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CALIBRE CROSSING, NW.",
            "address_2": "SUITE 1104",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014108",
            "telephone_number": "678-279-1141",
            "fax_number": "678-279-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA EYE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "MCENTIRE",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OPTICAL DIRECTOR",
        "authorized_official_telephone_number": "678-784-0242"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Manns
• Mylynda Patrice-Anne Manns, D.C.
• Shenae Amelia March, BCBA
• Marie Stone Counseling, LLC
• Marietta Eye Clinic
• Mark a Lipschitz DC, P.C.
• Tye Marr, PT
• Cara Martin
• Jamita Martin
• Jason Alan Martin, DPT

• Durable Medical Equipment & Medical Supplies in Acworth, GA
• Providers in Acworth, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.