| Select Eyecare Llc | |
|
4221 Atlanta Hwy, Loganville, GA 30052-7316 | |
| (478) 368-5385 | |
| (478) 910-1030 |
| Full Name | Select Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4221 Atlanta Hwy, Loganville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912610874 | NPI | - | NPPES |
| 000787674E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Alisa J Burnett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831136928 PECOS PAC ID: 4587667662 Enrollment ID: I20060809000485 |
| Provider Name | Camilla R Donald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477541126 PECOS PAC ID: 3870598576 Enrollment ID: I20061003000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Select Eyecare Llc 6945 Deer Creek Trce, Stone Mountain, GA 30087-5477 Ph: (404) 918-1915 | Select Eyecare Llc 4221 Atlanta Hwy, Loganville, GA 30052-7316 Ph: (478) 368-5385 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4060 Atlanta Hwy, Suite 1208 & 1212, Loganville, GA 30052 Phone: 470-415-5310 | |
Lazina Choudhry, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4060 Atlanta Hwy Ste 1208, Loganville, GA 30052 Phone: 470-415-5310 | |
Dr. Fred R. Howell, O. D. P.C. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4380 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-0023 | |
Brian Dempsey Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4495 Atlanta Hwy Ste 300, Loganville, GA 30052 Phone: 770-554-3456 Fax: 770-554-2090 | |
Brian C Dempsey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4495 Atlanta Hwy, Suite 300, Loganville, GA 30052 Phone: 770-554-3456 Fax: 770-696-5728 | |
Dr. Alvin Lewis Frey, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4495 Atlanta Hwy, Suite 300, Loganville, GA 30052 Phone: 770-554-3456 Fax: 770-554-3458 | |
Dr. Alisa Joyce Burnett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4221 Atlanta Hwy, Loganville, GA 30052 Phone: 478-368-5385 Fax: 478-910-1030 |