Dr Alisa Kourtney Nicholson, OD in Douglasville, GA

Dr Alisa Kourtney Nicholson, OD is a medicare enrolled "Optometrist" provider in Douglasville, Georgia. She went to Illinois College Of Optometry At Chicago and graduated in 2014 and has 10 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Infocus Eye Care, Inc and her current practice location is 6700 Douglas Blvd Ste 1270, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 942-9827.

Dr Alisa Kourtney Nicholson is licensed to practice in Georgia (license number OPT002881) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790186211.

Contact Information

	Dr Alisa Kourtney Nicholson, OD
	6700 Douglas Blvd Ste 1270, Douglasville, GA 30135
	(770) 942-9827
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alisa Kourtney Nicholson
Gender	Female
Speciality	Optometry
Experience	10 Years
Location	6700 Douglas Blvd Ste 1270, Douglasville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Alisa Kourtney Nicholson attended and graduated from Illinois College Of Optometry At Chicago in 2014

NPI Data:

NPI Number: 1790186211
Provider Enumeration Date: 09/16/2014
Last Update Date: 04/30/2020

Medicare PECOS Information:

PECOS PAC ID: 1557671104
Enrollment ID: I20161018001065

Medical Identifiers

Medical identifiers for Dr Alisa Kourtney Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790186211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT002881 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Infocus Eye Care, Inc	0345594362	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alisa Kourtney Nicholson allows following entities to bill medicare on her behalf.

Provider Name	Infocus Eye Care, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1023517471 PECOS PAC ID: 0345594362 Enrollment ID: O20181109002728

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alisa Kourtney Nicholson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Alisa Kourtney Nicholson, OD 6700 Douglas Blvd Ste 1270, Douglasville, GA 30135-1590 Ph: (770) 942-9827	Dr Alisa Kourtney Nicholson, OD 6700 Douglas Blvd Ste 1270, Douglasville, GA 30135 Ph: (770) 942-9827

Reviews and Comments

Optometrist in Douglasville, GA

Marietta Eye Clinic, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8841 Hospital Dr, Douglasville, GA 30134 Phone: 770-577-2220
Arbor Place Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 1270 Arbor Place Mall, Douglasville, GA 30135 Phone: 770-942-9827
Miraflores Eyecare, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 6995 Concourse Pkwy, Douglasville, GA 30134 Phone: 770-489-2622 Fax: 770-489-8318
Edward H Pottlitzer Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135 Phone: 770-949-4223 Fax: 770-949-4994
Yuchong Smith Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6580 Douglas Blvd, Douglasville, GA 30135 Phone: 770-577-5268 Fax: 770-577-2528
Christina Salehzadeh Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3417 Highway 5 Ste B, Douglasville, GA 30135 Phone: 770-949-2020
Mr. Edward Herman Pottlitzer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135 Phone: 770-949-4223 Fax: 770-949-4994

Dr Alisa Kourtney Nicholson, OD - Medicare Optometrist in Douglasville, GA