Active NPI
Selina Abundez
- Optician
- Marietta, GA
National Provider Identifier
1871439141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO003127
- Practice address
- 210 Cobb Pkwy S
Marietta, GA 30060-6509 - Phone
- (770) 429-9096
- NPI assigned
- Apr 28, 2026
- Last updated
- Apr 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO003127 | GA | Primary |
Addresses
Primary practice location
210 Cobb Pkwy S
Marietta, GA 30060-6509
Mailing address
2571 Creekview Dr SW
Marietta, GA 30008-5008
Phone (678) 887-1486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO003127 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1871439141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2571 CREEKVIEW DR SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300085008",
"telephone_number": "678-887-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 COBB PKWY S",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606509",
"telephone_number": "770-429-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUNDEZ",
"first_name": "SELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-28",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO003127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.