GEORGIA EYE SPECIALISTS NPI 1790819407

NPI Information

  • NPI: 1790819407
  • Provider Name: GEORGIA EYE SPECIALISTS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 653 CHEROKEE ST NE
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 419-1393

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NPI Details

GEORGIA EYE SPECIALISTS is a specialist in Marietta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GEORGIA EYE SPECIALISTS NPI is 1790819407. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

653 CHEROKEE ST NE
MARIETTA, GA
ZIP 30060-911
Phone: (770) 419-1393
Fax: (770) 419-8188

The provider's authorized official is Alan L Benedict .
The authorized official title is Owner and has the following contact phone number (770) 419-1393.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/26/2008.

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
1174400000XSpecialistYes

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
11156400001OTHERGEORGIACIGNA GOVERNMENT SERVICES
21156400001MEDICARE NSCGEORGIA
3GRP2821MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP NUMBER

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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