Jing Dong MD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002596 Issued in GA

Legal business name

JING DONG MD PC

Doing business as

Georgia Center for Sight

Practice address

1110 Commerce Dr
Suite 112
Greensboro, GA 30642-7444

Phone

(706) 453-1922

Fax

(706) 453-1926

NPI assigned

May 9, 2014

Reactivated

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Jing Dong, MD, PHDNPI 1356341119

Title

Owner

Phone

(706) 546-9290

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Georgia Center for Sight Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jing Dong M.D. P.C.

  • Eyewear Supplier
  • Athens, GA
  • NPI 1578729075

  7113935511

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Georgia Center for Sight2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jing Dong M.D. P.C.

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1245257757
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jing Dong, MD PHD

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1356341119
  NPD (past) Authorized official

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1164833380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COMMERCE DR",
            "address_2": "SUITE 112",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306427444",
            "telephone_number": "706-453-1922",
            "fax_number": "706-453-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COMMERCE DR",
            "address_2": "SUITE 112",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306427444",
            "telephone_number": "706-453-1922",
            "fax_number": "706-453-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JING DONG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "deactivation_date": "2019-06-11",
        "reactivation_date": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-546-9290",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002405",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002596",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "045447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791568K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Center for Sight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Georgia Center for Sight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isd Renal Inc
• Megan McFaddin Jackson, NP
• Missy Leigh Jackson
• Dalton Jansen, PT, DPT, CERT. DN
• Emily Jefferson
• Caitlyn Cook Johnston, FNP-BC
• Ansley Pike Jones, DMD
• Dominique Jones
• Don Witherall Jones, M.D.
• J. Tyrone Jones, DDS

• Optometrist in Greensboro, GA
• Providers in Greensboro, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.