MEDICARE: MACWAN EYE GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1477486728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MACWAN EYE GROUP LLC

Provider Business Mailing Address
First Line	:	4880 LOWER ROSWELL RD STE 2040
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-4375
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4880 LOWER ROSWELL RD STE 2040
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-4375
Country	:	US
Telephone Number	:	609-649-4202
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RIMA MACWAN
Credential	:	OD
Telephone Number	:	609-649-4202

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

Similar Medicare Providers

1942234778 — THE KROGER CO
Practice Location Address:

4880 LOWER ROSWELL RD
MARIETTA, GA
30068-4375

Practice Phone: 770-971-8661
Practice Fax: 770-971-3756

1932401973 — JANET LYNNE BONER M.ED.,MT-BC, NICU MT
Practice Location Address:

4880 LOWER ROSWELL RD
MARIETTA, GA
30068-4375

Practice Phone: 770-977-9457
Practice Fax:

1659639474 — ERIN MARIE CAIN PHARM. D
Practice Location Address:

4880 LOWER ROSWELL RD
MARIETTA, GA
30068-4375

Practice Phone: 770-971-8661
Practice Fax:

1801285507 — ISD RENAL INC
Practice Location Address:

4880 LOWER ROSWELL RD , SUITE 770
MARIETTA, GA
30068-4375

Practice Phone: 770-321-0675
Practice Fax: 770-509-8283

1770035263 — PT SOLUTIONS OF ACWORTH, LLC
Practice Location Address:

4880 LOWER ROSWELL RD , SUITE 625
MARIETTA, GA
30068-4375

Practice Phone: 844-734-2204
Practice Fax:

1629686134 — ANNIE LEE PHARMD
Practice Location Address:

4880 LOWER ROSWELL RD
MARIETTA, GA
30068-4375

Practice Phone: 770-861-9771
Practice Fax:

Directions to “MACWAN EYE GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.