Organization
MARIETTA EYE OPTICAL INC
Active
Parent organization
MARIETTA EYE OPTICAL INC
Other names
Marietta Eye Optical Johns Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIETTA EYE OPTICAL INC
Authorized official
REBECCA THACKSTON (MANAGER)
(770) 427-8111
Entity
Organization
Contact information
Practice address
4025 JOHNS CREEK PKWY, SUWANEE, GA 30024-5682
(770) 427-8111
Mailing address
895 CANTON RD NE BLDG 100, MARIETTA, GA 30060-8935
(770) 427-8111
(770) 499-1643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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