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Marietta Eye Optical Inc

NPI 1780572933ActiveOrganization· Ophthalmology· Suwanee, GA

Ophthalmology in Suwanee, Georgia, registered in NPPES in June 2025, part of Marietta Eye Optical Inc. The authorized official on file is Rebecca Thackston, Manager.

Overview

NPI1780572933
StatusActive
Entity typeOrganization (subpart)
Parent organizationMarietta Eye Optical Inc
NPI issuedJun 26, 2025
Last updated in NPPESJun 26, 2025
Certified by providerJun 26, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X——
Optometrist152W00000X——

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 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

Other Ophthalmology providers in Suwanee

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