Organization · Type 2 NPI

Marietta Eye Clinic PA

Ophthalmologic Surgery Clinic/Center · Suwanee, GA

NPI number 1225836869 Active

Practice location

4025 Johns Creek Pkwy Ste 400
Suwanee, GA 30024-5682

Specialties and licenses

Taxonomy	Code	License
Ophthalmologic Surgery Clinic/Center Primary	261QS0132X	None listed

Ophthalmologic Surgery Clinic/Center: Definition to come...

NPI record

NPI: 1225836869
Entity type: Organization (Type 2)
Issued: Mar 7, 2025
Last updated: Mar 31, 2026
Status: Active

Other names

<unavail>
Marietta Eye Surgery at Johns Creek · doing business as
Marietta Eye Surgery at Johns Creek · doing business as

Authorized official

Collin Lemaistre
Officer/authorized Official
(214) 213-0732

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1225836869

Marietta Eye Clinic PA's National Provider Identifier is 1225836869, issued on Mar 7, 2025. The primary taxonomy on file is Ophthalmologic Surgery Clinic/Center (261QS0132X), and the practice location is in Suwanee, GA. The record was last updated on Mar 31, 2026.