Infocus Eye Care, Inc.
NPI 1023517471ActiveOrganization· Optometrist· Douglasville, GA
Optometrist in Douglasville, Georgia, registered in NPPES in February 2018, part of Infocus Eye Care, Inc. The authorized official on file is Alisa Kourtney Nicholson, OD, Optometrist/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023517471 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Infocus Eye Care, Inc. |
| NPI issued | Feb 12, 2018 |
| Last updated in NPPES | May 23, 2024 |
| Certified by provider | May 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Optometrist, Corneal and Contact Management | 152WC0802X | — | — |
| Optometrist, Pediatrics | 152WP0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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