Organization
MARIETTA EYE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA THACKSTON (MANAGER, SPECIAL PROJECTS)
(770) 427-8111
Entity
Organization
Contact information
Practice address
2990 EAGLE DR STE 110, WOODSTOCK, GA 30189-5575
(678) 460-4810
Mailing address
895 CANTON RD NE BLDG 100, MARIETTA, GA 30060-8935
(770) 427-8111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
06/26/2025
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