Organization Active NPI

KJS Optical PC

  • Optometrist
  • Rome, GA
National Provider Identifier
1962368316
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KJS OPTICAL PC
Practice address
1008 Shorter Ave NW
Rome, GA 30165-4054
Phone
(706) 232-6464
Fax
(706) 232-1974
NPI assigned
Dec 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Dr. Kathryn Jordan Stockton, ODNPI 1457588949
Title
Owner/Optometrist
Phone
(205) 746-6604

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 Primary

Addresses

Primary practice location

1008 Shorter Ave NW
Rome, GA 30165-4054

Mailing address

1008 Shorter Ave NW
Rome, GA 30165-4054
Phone (205) 746-6604

National Provider Directory

National Provider Directory

Locations

1008 Shorter Ave NW
Rome, GA 30165
Phone (706) 232-6464

Practitioners & affiliated clinicians

Practitioners 2

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": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1962368316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654054",
            "telephone_number": "205-746-6604",
            "fax_number": "205-746-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 SHORTER AVE NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654054",
            "telephone_number": "706-232-6464",
            "fax_number": "706-232-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJS OPTICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "STOCKTON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "205-746-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.