NPI age
2 years
Enumerated 2023-05-29
● Active
Type 1 · Individual
DR. Tyler Ray Bellack, OD
Bellack is 1 of 42 optometrist providers in Kennesaw and 1 of 2375 in Georgia.
Primary specialty
Optometrist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2375 active optometrist providers in Georgia.
NPI age
2 years
↓ 14 yr below median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-05Enumerated in NPPES
2023
2026
Where they practice
Practice location
400 Ernest W Barrett Pkwy Nw Ste 617
Kennesaw, GA 301444997
Mailing address
3338 Littleport Ln Nw
Acworth, GA 301016972
Specialties
-
Optometrist PrimaryDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
-
Student in an Organized Health Care Education/Training ProgramAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 2375 Optometrist providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.