NA Jiang

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO002839 Issued in GA

Practice address

628 Surrey LN
Augusta, GA 30907-8216

Phone

(706) 231-8276

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1053076018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SURREY LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309078216",
            "telephone_number": "706-231-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SURREY LN",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309078216",
            "telephone_number": "706-231-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "NA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Scott Jeter, DMD
• Tyler Pivatchai Jetjomlong, MD
• Dawn Michelle Jett, LCSW
• Jha MD PC
• Chen Jiang, MD
• Halla Mahmoud Jibreen, MD
• Anand P. Jillella, MD
• Enoe J Jimenez Cordero
• Delma Jimenez, M. ED.
• Jack Sebastian Jimenez, MD

• Optician in Augusta, GA
• Providers in Augusta, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.