WILDWOOD EYE CARE LLC (NPI# 1396073862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396073862 |
| Entity Type | Organization |
| Organization Name | WILDWOOD EYE CARE LLC |
| Other Organization Name | WILDWOOD EYE CARE |
| Practice Address |
1545 Powers Ferry Rd Suite 240 Marietta GA 30067-9412 |
| Practice Telephone | 7709526412 |
| Practice Fax Number | 7709532738 |
| Mailing Telephone | 7709526412 |
| Mailing Fax Number | 7709532738 |
| Enumeration Date | 2009-11-22 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | GRAY W SASS (OWNER) |
| Authorized Official Telephone | 7709526412 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Wildwood Eye Care | Other Name - Individual/Organization |
| Street Address |
1545 POWERS FERRY RD SUITE 240 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-9412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952627218 | Geriatric Eye Group LLC | Optometrist | 1545 Powers Ferry Rd, Marietta, GA 30067-9412 | 2010-04-12 |
| 1942526272 | Dale J Clements | Optometrist | 1545 Powers Ferry Rd, Marietta, GA 30067-9412 | 2010-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154963 | Family First Vision Care Georgia | Optometrist | 1401 Johnson Ferry Rd Ste 148b, Marietta, GA 30062-6499 | 2020-08-17 |
| 1629560032 | Jinen Shah | Optometrist | 1100 Johnson Ferry Rd Ste 120, Marietta, GA 30068-2700 | 2018-05-31 |
| 1265967509 | Samaneh Sahand | Optometrist | 2200 Roswell Rd Ste 160, Marietta, GA 30062-2984 | 2017-04-24 |
| 1457695397 | Krista Chopra | Optometrist | 621 Virginia St Apt 17, Marietta, OH 45750-2893 | 2012-11-15 |
| 1720376353 | Alfred M. Long, Jr., O.d., LLC | Optometrist | 690 Stone House Ln Nw, Marietta, GA 30064-4700 | 2011-07-18 |
| 1497073951 | Lauren Theresa Fiscale | Optometrist | 850 Old Piedmont Rd, Marietta, GA 30066-5490 | 2010-05-08 |
| 1326373069 | American Optical Services LLC | Optometrist | 1311 Johnson Ferry Rd, Marietta, GA 30068-2944 | 2009-10-14 |
| 1760715361 | Mital Patel | Optometrist | 3535 Roswell Rd Ste 8, Marietta, GA 30062-8827 | 2009-09-14 |
| 1639300502 | Jose Goncalves PC | Optometrist | 1401 Johnson Ferry Rd Suite 148b, Marietta, GA 30062 | 2009-07-27 |
| 1760688675 | Tracy Free Demontigny | Optometrist | 596 Cobb Pkwy South, Eyesite Optical, Marietta, GA 30060 | 2007-06-26 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.