NPIMap

Organization Active NPI

Infocus Eye Care, Inc.

Doing business as Arbor Place Eye Care

  • Optometrist
  • Douglasville, GA
National Provider Identifier
1023517471
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INFOCUS EYE CARE, INC.
Doing business as
Arbor Place Eye Care
Arbor Place Eye Care Woodstock
Practice address
1270 Arbor Place Mall
Douglasville, GA 30135-7105
Phone
(770) 942-9827
NPI assigned
Feb 12, 2018
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
INFOCUS EYE CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alisa Kourtney Nicholson, ODNPI 1790186211
Title
Optometrist/Owner
Phone
(662) 251-1421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU
Pediatric Optometrist 152WP0200X NU

Addresses

Primary practice location

1270 Arbor Place Mall
Douglasville, GA 30135-7105

Mailing address

165 Olivia Run
Atlanta, GA 30349-7614
Phone (770) 942-9827

Other practice location 1

3600 Marketplace Blvd Ste 310
East Point, GA 30344-8129
Phone (404) 346-2025

Other practice location 2

915 Ridgewalk Pkwy Ste 425
Woodstock, GA 30188-0119
Phone (770) 592-7413

Other names 2

  • Arbor Place Eye Care Doing business as
  • Arbor Place Eye Care Woodstock Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181109002728 GA Part B Supplier - Clinic/Group Practice 0345594362 Receives reassigned benefits from 10 practitioners
Practice locations: Douglasville, GA

National Provider Directory

National Provider Directory
Part of
Infocus Eye Care Inc

Locations

3600 Marketplace Blvd
Ste 310
East Point, GA 30344
Phone (404) 346-2020

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1023517471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 OLIVIA RUN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303497614",
            "telephone_number": "770-942-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 ARBOR PLACE MALL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357105",
            "telephone_number": "770-942-9827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Marketplace Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303448129",
            "country_code": "US",
            "telephone_number": "404-346-2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Ridgewalk Pkwy Ste 425",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301880119",
            "country_code": "US",
            "telephone_number": "770-592-7413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFOCUS EYE CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFOCUS EYE CARE, INC.",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "KOURTNEY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "662-251-1421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arbor Place Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arbor Place Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arbor Place Eye Care Woodstock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.