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Advanced Eye Associates LLC

NPI 1720217771ActiveOrganization· Optometrist· Marietta, GA

Optometrist in Marietta, Georgia, registered in NPPES in July 2009. The authorized official on file is Kelley Kott, Rcm Manager.

Overview

NPI1720217771
StatusActive
Entity typeOrganization
NPI issuedJul 13, 2009
Last updated in NPPESSep 15, 2026
Certified by providerSep 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X152WOOOOOXGA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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