# MARIETTA OPHTHALMOLOGY ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639171010
- **Authorized official:** BRENDA FAYE JONES MD (PRESIDENT)
- **Authorized official phone:** (740) 373-8046

## Contact information

- **Practice address:** 210 N SEVENTH ST, SUITE 200, MARIETTA, OH 45750-2244
- **Practice address phone:** (740) 373-8046
- **Practice address fax:** (740) 373-0182
- **Mailing address:** 210 N 7TH ST, SUITE 200, MARIETTA, OH 45750-2244
- **Mailing address phone:** (740) 373-8046
- **Mailing address fax:** (740) 373-0182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 55641 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 05/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0095420000 | — | WV |
| 05 | — | 0672106 | — | OH |