● Active Type 2 · Organization
Marietta Eye Clinic, PA
Clinic/Center·Marietta, GA· NPI 1205857968
·
Enumerated 2006 · 19 years on NPI
Marietta Eye Clinic, PA is 1 of 33 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lemaistre
Officer
Last NPPES update
2024-11-08
Source: monthly bulk 2026-05
How this organization compares
Across 33 active clinic/center providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
895 Canton Rd Ne, Building 200, Suite 300
Marietta, GA 30060
📞 6787840203
Mailing address
895 Canton Rd Ne, Building 200, Suite 300
Marietta, GA 300608934
📞 6787840203
Authorized official
Collin Lemaistre
Officer
📞 2142130732
Individual providers at this organization
18 individual providers on file at this primary practice address.
-
Brandy Augustine, O.D.
Optometrist
NPI 1457404170
-
Monica Bratton, MD
Ophthalmology
NPI 1700013653
-
Taylor Carlile, FNP-C
Nurse Practitioner
NPI 1811846645
-
Amy Cherof, M.D.
Ophthalmology
NPI 1164786976
-
Allison Dublin, M.D.
Ophthalmology
NPI 1770791725
-
Charles Ho, MD
Ophthalmology
NPI 1780685834
-
Shunai Jiang, M.D. & PH.D.
Ophthalmology
NPI 1265570840
-
Abigail Kalish, M.D.
Ophthalmology
NPI 1265069249
-
Lakshmana Kooragayala, MD
Ophthalmology
NPI 1497757496
-
Byron Long, MD
Ophthalmology
NPI 1225030182
-
Annal Meleth, M.D, M.S
Ophthalmology
NPI 1962668046
-
Paul Mitchell, MD
Ophthalmology
NPI 1912909813
-
Puneet Panda, M.D.
Ophthalmology
NPI 1073827895
-
Sarah Pratt, COA
Technician/Technologist
NPI 1427866227
-
Rachel Ressler, O.D.
Optometrist
NPI 1205524295
-
Gregg Russell, OD
Optometrist
NPI 1487656237
-
Bryan Thiel
Ophthalmology
NPI 1356845556
-
Justin Wilkin, M.D.
Ophthalmology
NPI 1184949687
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QS0132X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
18 individual providers on file at this primary address.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.