Roswell Eye Clinic,inc
NPI 1104010594 · Optometrist · Roswell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roswell Eye Clinic,inc is a Optometrist organization in Roswell, GA (NPI 1104010594).
Provider details
- NPI number
- 1104010594
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Sharon Moscow, Optometrist(770) 992-7620
- License
- 861-T (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Roswell Eye Clinic,inc
Registry dates
- Enumerated
- 2007-08-29
- Last updated
- 2011-02-28
Frequently asked questions
- What is Roswell Eye Clinic,inc's NPI number?
- Roswell Eye Clinic,inc's National Provider Identifier (NPI) is 1104010594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roswell Eye Clinic,inc?
- Roswell Eye Clinic,inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Roswell Eye Clinic,inc located?
- Roswell Eye Clinic,inc's practice location on file with NPPES is 1190 Grimes Bridge Rd, Roswell, GA 30075-3930.
- What is Roswell Eye Clinic,inc's phone number?
- The practice phone number listed in the NPPES registry for Roswell Eye Clinic,inc is (770) 992-7620.
- Does Roswell Eye Clinic,inc accept Medicare?
- Roswell Eye Clinic,inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Roswell Eye Clinic,inc?
- The authorized official listed on Roswell Eye Clinic,inc's NPPES record is Sharon Moscow, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roswell Eye Clinic,inc's NPI active?
- Yes — Roswell Eye Clinic,inc's NPI (1104010594) is active in the NPPES registry as of the last update on 2011-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.