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MARIETTA EYE OPTICAL INC NPI 1245393800


NPI Information

NPI: 1245393800
Provider Name: MARIETTA EYE OPTICAL INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 11D2071621

Address:
8841 HOSPITAL DR
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 577-2220
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MARIETTA EYE OPTICAL INC is a durable medical equipment medical supplies in Douglasville, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MARIETTA EYE OPTICAL INC NPI is 1245393800. The provider is registered as an organization entity type.

The provider's business location address is:

8841 HOSPITAL DR
DOUGLASVILLE, GA
ZIP 30134-267
Phone: (770) 577-2220

The provider's authorized official is Tia Mcentire .
The authorized official title is Director Of Optical and has the following contact phone number (678) 784-0242.

The CLIA number assigned to this NPI record is 11D2071621 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 4/2/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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