Active NPI
Kirk W Jones, LDO
- Optician
- Athens, GA
National Provider Identifier
1376555409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1017
- Practice address
- 1010 Prince Ave
Suite 110
Athens, GA 30606-5805 - Phone
- (706) 549-9993
- Fax
- (706) 549-4047
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1017 | GA | Primary |
Addresses
Primary practice location
1010 Prince Ave
Suite 110
Athens, GA 30606-5805
Mailing address
1010 Prince Ave
Suite 110
Athens, GA 30606-5805
Phone (706) 549-9993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1017 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keller Crymes & Demarco LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Athens, GA
- NPI 1790907277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376555409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PRINCE AVE",
"address_2": "SUITE 110",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065805",
"telephone_number": "706-549-9993",
"fax_number": "706-549-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PRINCE AVE",
"address_2": "SUITE 110",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065805",
"telephone_number": "706-549-9993",
"fax_number": "706-549-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KIRK",
"middle_name": "W",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "1017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.