Individual provider Active NPI

Sulicia Lea Jones, LDO

  • Optician
  • Fort Oglethorpe, GA
National Provider Identifier
1033605217
Registry record updated May 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001941 Issued in GA
Practice address
1670 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4046
Phone
(423) 619-4651
NPI assigned
Jul 10, 2018
Last updated
May 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X LDO001941 GA Primary

Addresses

Primary practice location

1670 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4046

Mailing address

37 Jack LN
Ringgold, GA 30736-8250
Phone (423) 619-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LDO001941GAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
A&a Optical LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

1670 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 866-2111

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557532800000",
    "number": "1033605217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 JACK LN",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368250",
            "telephone_number": "423-619-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 BATTLEFIELD PKWY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424046",
            "telephone_number": "423-619-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SULICIA",
        "middle_name": "LEA",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2019-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.