Organization Active NPI

Northeast Georgia Vision Care LLC

Doing business as Jenkins Vision Care

  • Optometrist
  • Athens, GA
National Provider Identifier
1336281971
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTHEAST GEORGIA VISION CARE LLC
Doing business as
Jenkins Vision Care
Practice address
850 Prince Ave Ste B
Athens, GA 30606-2764
Phone
(706) 353-2520
Fax
(706) 353-2584
NPI assigned
Feb 12, 2007
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
N.E. GA VISION CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Dr. Joel Chandler Jenkins, O.D.NPI 1487634705
Title
Owner
Phone
(706) 353-2520

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X GA Primary

Addresses

Primary practice location

850 Prince Ave Ste B
Athens, GA 30606-2764

Mailing address

850 Prince Ave Ste B
Athens, GA 30606-2764
Phone (706) 353-2520

Other names 1

  • Jenkins Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000492 GA Part B Supplier - Clinic/Group Practice 7416055603 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Athens, GA; Cornelia, GA

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
NE Ga Vision Care LLC2 organizations share this tax ID, including this one
Part of
NE Ga Vision Care LLC

Other organizations with this tax ID 1

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

Locations

850 Prince Ave
Ste 8
Athens, GA 30606

850 Prince Ave
Ste B
Athens, GA 30606
Phone (706) 353-2520

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1336281971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PRINCE AVE STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062764",
            "telephone_number": "706-353-2520",
            "fax_number": "706-353-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 PRINCE AVE STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062764",
            "telephone_number": "706-353-2520",
            "fax_number": "706-353-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA VISION CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N.E. GA VISION CARE, LLC",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "CHANDLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-353-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenkins Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.

Verify at the official NPI Registry.