Organization Active NPI

Kyle a Jones OD Inc

Doing business as georgia eye center

  • Corneal and Contact Management Optometrist
  • Tucker, GA
National Provider Identifier
1033663190
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
GA 1749 Issued in GA
Legal business name
KYLE A JONES OD INC
Doing business as
georgia eye center
Practice address
4135 Lavista Rd
100
Tucker, GA 30084-5314
Phone
(770) 939-8840
Fax
(770) 938-9031
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Dr. Kyle Jones, OD
Title
President
Phone
(770) 939-8840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X GA 1749 GA Primary

Addresses

Primary practice location

4135 Lavista Rd
100
Tucker, GA 30084-5314

Mailing address

4135 Lavista Rd
100
Tucker, GA 30084-5314
Phone (770) 939-8840

Other names 1

  • georgia eye center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1033663190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 LAVISTA RD",
            "address_2": "100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845314",
            "telephone_number": "770-939-8840",
            "fax_number": "770-938-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 LAVISTA RD",
            "address_2": "100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845314",
            "telephone_number": "770-939-8840",
            "fax_number": "770-938-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE A JONES OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-939-8840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "GA 1749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "georgia eye center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.