Active NPI
Select Eyecare LLC
- Optometrist
- Loganville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SELECT EYECARE LLC
- Practice address
- 4221 Atlanta Hwy
Loganville, GA 30052-7316 - Phone
- (478) 368-5385
- Fax
- (478) 910-1030
- NPI assigned
- Jan 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alisa Joyce Burnett, OD
- Title
- Ceo
- Phone
- (404) 918-1915
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
4221 Atlanta Hwy
Loganville, GA 30052-7316
Mailing address
6945 Deer Creek Trce
Stone Mountain, GA 30087-5477
Phone (404) 918-1915
Other practice location 1
2050 W Spring St
Monroe, GA 30655-3164
Phone (478) 368-5386
Other practice location 2
10030 Industrial Blvd NE
Covington, GA 30014
Phone (478) 368-5384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000787674E | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | selecteyecarellc@proton.me | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4221 Atlanta Hwy
Loganville, GA 30052
Phone (478) 368-5385
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Loganville, GA
- NPI 1831136928
-
- Optometrist
- Alpharetta, GA
- NPI 1477541126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1912610874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6945 DEER CREEK TRCE",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300875477",
"telephone_number": "404-918-1915",
"fax_number": "478-910-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527316",
"telephone_number": "478-368-5385",
"fax_number": "478-910-1030"
}
],
"practiceLocations": [
{
"address_1": "2050 W Spring St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306553164",
"country_code": "US",
"telephone_number": "478-368-5386",
"fax_number": "478-910-1030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10030 Industrial Blvd NE",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "30014",
"country_code": "US",
"telephone_number": "478-368-5384",
"fax_number": "478-910-1030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SELECT EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "BURNETT",
"authorized_official_first_name": "ALISA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-918-1915",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000787674E",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "selecteyecarellc@proton.me",
"affiliation": "N",
"endpointDescription": "encrypted secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4221 Atlanta Hwy",
"city": "Loganville",
"state": "GA",
"country_code": "US",
"postal_code": "300527316",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.