| Jones Vision Associates | |
|
2900 Cumberland Mall Se Atlanta GA 30339-8107 | |
| (770) 431-1713 | |
| Not Available |
| Full Name | Jones Vision Associates |
|---|---|
| Speciality | Optometrist |
| Location | 2900 Cumberland Mall Se, Atlanta, Georgia |
| Authorized Official Name and Position | Kenneth Allen Jones (OWNER) |
| Authorized Official Contact | 7704311713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jones Vision Associates 4495 Redan Ct Smyrna GA 30080-9318 Ph: (770) 431-1713 | Jones Vision Associates 2900 Cumberland Mall Se Atlanta GA 30339-8107 Ph: (770) 431-1713 |
| NPI Number | 1265622633 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 9335121193 |
|---|---|
| Medicare Enrollment ID | O20040604000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265622633 | NPI | - | NPPES |
| 173891 | Other | GA | SC MCARE |
| GRP5110 | Other | GA | MEDICARE GRP |
| 283422181A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 152W00000X | Optometrist | OPT002048 (Georgia) | Primary |
| Provider Name | Kenneth A Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265523831 PECOS PAC ID: 3476505496 Enrollment ID: I20050303000868 |
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