MARIETTA EYE OPTICAL INC NPI 1285797829

NPI Information

  • NPI: 1285797829
  • Provider Name: MARIETTA EYE OPTICAL INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 11D2071623
  • Address: 100 OLD BALL GROUND HWY
    CANTON, GA
    ZIP 30114
  • Phone: (770) 479-2195

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NPI Details

MARIETTA EYE OPTICAL INC is a durable medical equipment medical supplies in Canton, 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 1285797829. The provider is registered as an organization entity type.

The provider's business location address is:

100 OLD BALL GROUND HWY
CANTON, GA
ZIP 30114-890
Phone: (770) 479-2195

The provider's authorized official is Sue Swanson .
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 11D2071623 - 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 6/26/2025.

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: 11/21/2025

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