Healthcare Provider Details

I. General information

NPI: 1497688741
Provider Name (Legal Business Name): WEST POINT OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 JOHNSON FERRY RD STE 148B
MARIETTA GA
30062-6499
US

IV. Provider business mailing address

3238 HIDDEN FOREST CT UNIT 130
MARIETTA GA
30066-3173
US

V. Phone/Fax

Practice location:
  • Phone: 470-444-9774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA J MA
Title or Position: OPTOMETRIST
Credential: OD
Phone: 770-710-1924