Active NPI
Jones Vision Associates
- Optometrist
- Atlanta, GA
National Provider Identifier
1265622633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002048
- Legal business name
- JONES VISION ASSOCIATES
- Practice address
- 2900 Cumberland Mall SE
Atlanta, GA 30339-8107 - Phone
- (770) 431-1713
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Allen Jones, OD
- Title
- Owner
- Phone
- (770) 431-1713
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002048 | GA | Primary |
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
2900 Cumberland Mall SE
Atlanta, GA 30339-8107
Mailing address
4495 Redan CT
Smyrna, GA 30080-9318
Phone (770) 431-1713
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173891 | Other | GA | SC MCARE |
| GRP5110 | Other | GA | MEDICARE GRP |
| 283422181A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040604000317 | GA | Part B Supplier - Clinic/Group Practice | 9335121193 |
Receives reassigned benefits from 1 practitioner Practice locations: Atlanta, GA |
National Provider Directory
National Provider DirectoryLocations
2900 Cumberland Mall SE
Atlanta, GA 30339
Phone (770) 431-1709
125 Pavilion Pkwy
Fayetteville, GA 30214
Phone (770) 460-0726
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1265622633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 REDAN CT",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300809318",
"telephone_number": "770-431-1713",
"fax_number": "770-719-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 CUMBERLAND MALL SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303398107",
"telephone_number": "770-431-1713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONES VISION ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-431-1713",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002048",
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MCARE",
"identifier": "173891",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP",
"identifier": "GRP5110",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "283422181A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.