Active NPI
Jenecia Reed, LDO003136
- Optician
- Statesboro, GA
National Provider Identifier
1548184708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO003136
- Practice address
- 147 Northside Dr E
Statesboro, GA 30458-4760 - Phone
- (912) 764-7914
- Fax
- (912) 764-7352
- NPI assigned
- Aug 8, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 | LDO003136 | GA | Primary |
Addresses
Primary practice location
147 Northside Dr E
Statesboro, GA 30458-4760
Mailing address
147 Northside Dr E
Statesboro, GA 30458-4760
Phone (912) 764-7914
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1548184708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584760",
"telephone_number": "912-764-7914",
"fax_number": "912-764-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584760",
"telephone_number": "912-764-7914",
"fax_number": "912-764-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "JENECIA",
"credential": "LDO003136",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-08-08",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO003136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
- Rebecca Murray PH.D. LLC
- Recovery Medical Group LLC
- John Braxton Redding, CRNA
- Rani S. Reddy, M.D.
- Swaroop M Reddy, M.D.
- Refocus Counseling and Consulting Services
- Refocus Counseling and Consulting Services, LLC
- Reinvent Yourself Counseling
- Reliance Treatment Center of Statesboro (Reliance Treatment Center)
- Renal Treatment Centers Mid Atlantic Inc (East Georgia Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.