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MARIETTA OPHTHALMOLOGY ASSOCIATES INC NPI 1639171010


NPI Information

NPI: 1639171010
Provider Name: MARIETTA OPHTHALMOLOGY ASSOCIATES INC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 36D2301918

Address:
210 N SEVENTH ST
SUITE 200
MARIETTA, OH
ZIP 45750
Phone: (740) 373-8046
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MARIETTA OPHTHALMOLOGY ASSOCIATES INC is an ophthalmology in Marietta, OH. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. MARIETTA OPHTHALMOLOGY ASSOCIATES INC NPI is 1639171010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 N SEVENTH ST
SUITE 200
MARIETTA, OH
ZIP 45750-244
Phone: (740) 373-8046
Fax: (740) 373-0182

The provider's authorized official is Brenda Faye Jones .
The authorized official title is President and has the following contact phone number (740) 373-8046.

The CLIA number assigned to this NPI record is 36D2301918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 5/3/2011.


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
1207W00000XOphthalmology55641OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11099330001MEDICARE NSCWEST VIRGINIA
29282721MEDICARE PINOHIO
30672106MEDICAIDOHIO
40095420000MEDICAIDWEST VIRGINIA
5E29680MEDICARE UPIN

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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