Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alisa Kourtney Nicholson, OD

Individual provider Optometrist · NPI 1790186211

Dr. Alisa Kourtney Nicholson, OD is an Optometry in Douglasville, Georgia. Graduated from Illinois College of Optometry at Chicago in 2014, 12 years ago. Practices with Infocus Eye Care, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
Illinois College of Optometry at Chicago
Licensed in
GA
In the registry since
2014
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6700 Douglas Blvd Ste 1270
Douglasville, GA 30135
Phone: (770) 942-9827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT002881 (GA)

Record details

NPI number1790186211
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedSeptember 16, 2014
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2014 (12 years in practice)
Group practice Infocus Eye Care, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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