Doctor profile · Federal record

Dr. Tyler Bellack, OD

Optometrist (CMS: Optometry) · Student in an Organized Health Care Education/Training Program · Kennesaw, GA

  • NPI 1750074621
  • Accepts Medicare
  • 3 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
400 Ernest W Barrett Pkwy Nw Ste 617
Kennesaw, GA 301444997
(772) 272-9470
Mailing address
3338 Littleport Ln Nw
Acworth, GA 301016972

Credentials & registration

NPPES · NUCC
NPI registered
May 2023 — 3 yrs on file
Profile last updated
July 3, 2023
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
Georgia #OPT003500

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1750074621. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$658
Transactions
10
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
CooperVision INC. 5 $284.29
Johnson & Johnson Vision Care, INC. 3 $279.96
Bausch & Lomb Americas INC. 2 $93.69

By nature of payment

Food and Beverage
$658

Frequently asked questions

Auto-generated from federal data
What is Dr. Tyler Bellack's medical specialty?
Dr. Tyler Bellack practices Optometrist in Kennesaw, GA.
Where does Dr. Tyler Bellack practice?
Dr. Tyler Bellack practices at 400 Ernest W Barrett Pkwy Nw Ste 617, Kennesaw, GA 301444997. Office phone: 7722729470.
What is Dr. Tyler Bellack's NPI?
Dr. Tyler Bellack's National Provider Identifier (NPI) is 1750074621, issued by NPPES.
Does Dr. Tyler Bellack accept Medicare assignment?
Yes. Dr. Tyler Bellack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.