Wildwood Eye Care LLC
NPI 1396073862 · Optometrist · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wildwood Eye Care LLC is a Optometrist organization in Marietta, GA (NPI 1396073862).
Provider details
- NPI number
- 1396073862
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Grosswald, Manager(770) 952-6412
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
16 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)
- Other name
- Wildwood Eye Care
Registry dates
- Enumerated
- 2009-11-22
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Frequently asked questions
- What is Wildwood Eye Care LLC's NPI number?
- Wildwood Eye Care LLC's National Provider Identifier (NPI) is 1396073862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wildwood Eye Care LLC?
- Wildwood Eye Care LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Wildwood Eye Care LLC located?
- Wildwood Eye Care LLC's practice location on file with NPPES is 1545 Powers Ferry Rd, Marietta, GA 30067-9412.
- What is Wildwood Eye Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Wildwood Eye Care LLC is (770) 952-6412.
- Does Wildwood Eye Care LLC accept Medicare?
- Wildwood Eye Care LLC 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 Wildwood Eye Care LLC?
- The authorized official listed on Wildwood Eye Care LLC's NPPES record is David Grosswald, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wildwood Eye Care LLC's NPI active?
- Yes — Wildwood Eye Care LLC's NPI (1396073862) is active in the NPPES registry as of the last update on 2024-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.