SELECT EYECARE LLC
NPI 1912610874
Optometrist in Loganville, GA

Q: What is Select Eyecare LLC's NPI number?

The NPI number for Select Eyecare LLC is 1912610874. It was assigned to this organization in the NPPES registry on January 5, 2023.

Q: What is Select Eyecare LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 05, 2023

4221 ATLANTA HWY, LOGANVILLE, GA 30052(478) 368-5385(478) 910-1030 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2023, Jan 5, 2023 (2 updates tracked since 2023).

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About Select Eyecare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELECT EYECARE LLC (NPI 1912610874) is a healthcare organization registered as an optometrist in Loganville, Georgia and active in the NPI registry since January 2023. The organization maintains 2 additional practice locations and lists Alisa Joyce Burnett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912610874

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameSELECT EYECARE LLC

Location Address4221 ATLANTA HWYLoganville, GA 30052-7316

Mailing Address6945 Deer Creek TrceStone Mountain, GA 30087-5477 · (404) 918-1915 · Fax (478) 910-1030

Phone(478) 368-5385

Fax(478) 910-1030

Organization SubpartNo

Authorized OfficialAlisa Joyce BurnettCeo · (404) 918-1915

Enumeration DateJanuary 5, 2023

Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1912610874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4221 ATLANTA HWY, Loganville, GA 30052

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Secondary Practice Locations 2

Location 12050 W Spring StMonroe, GA 30655-3164 · Phone (478) 368-5386 · Fax (478) 910-1030

Location 210030 Industrial Blvd NECovington, GA 30014 · Phone (478) 368-5384 · Fax (478) 910-1030

Other Identifiers 1

Medicaid000787674EGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMMAD TINA PHARM.D.

Pharmacist