P Praxis·MD
● Active Type 2 · Organization

Roswell Eye Clinic,inc

Optometrist·Roswell, GA· NPI 1104010594 · Enumerated 2007 · 18 years on NPI
Roswell Eye Clinic,inc is 1 of 2375 optometrist organizations in Georgia.
NPI age
18 years
Enumerated 2007-08-29
Primary specialty
Optometrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moscow
Optometrist
Last NPPES update
2011-02-28
Source: monthly bulk 2026-05

How this organization compares

Across 2375 active optometrist providers in Georgia.

NPI age
18 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1190 Grimes Bridge Rd
Roswell, GA 300753930
📞 7709927620fax 7709928262
Mailing address
1190 Grimes Bridge Rd
Roswell, GA 300753930
📞 7709927620fax 7709928262

Authorized official

Sharon B Moscow
Optometrist
📞 7709927620

Individual providers at this organization

7 individual providers on file at this primary practice address.

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    GA license #861-T taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (GA) 00168583A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Roswell Eye Clinic,Inc
    Type code 3 recorded 2011-02-28

Practice context

Multi-provider organization. 7 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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