JING DONG M.D. P.C. (NPI# 1578729075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578729075 |
| Entity Type | Organization |
| Organization Name | JING DONG M.D. P.C. |
| Other Organization Name | GEORGIA CENTER FOR SIGHT |
| Practice Address |
651 S Milledge Ave Athens GA 30605-1250 |
| Mailing Address |
651 South Milledge Ave Athens GA 30605 |
| Practice Telephone | 7065469290 |
| Practice Fax Number | 7065464938 |
| Mailing Telephone | 7065469290 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | JING DONG (OWNER/CEO) |
| Authorized Official Telephone | 7065469290 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 045447 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1164833380 | 01 |
| GA | NPI | 1649681768 | 01 |
| GA | MEDICARE PTAN | 5755300003 | 01 |
| GA | 000791568H | 05 | |
| GA | MEDICARE PTAN | 5755300002 | 01 |
| GA | NPI | 1578729075 | 01 |
| Other Name | Type Code |
|---|---|
| Georgia Center for Sight | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1110 Commerce Dr Ste 112, Greensboro, GA 306427444 | 7064531922 | 7064531926 |
| 5 S Mcintosh St, Elberton, GA 306352465 | 7062837510 | 7062837570 |
| 12877 Jones Street, Ste A, Lavonia, GA 305534271 | 7063560575 | 7063560579 |
| 13 Depot Street, Hartwell, GA 30643 | 7063761733 | 7065464938 |
| 355 Clear Creek Pkwy Ste 1005, Lavonia, GA 305534271 | 7063560575 | 7063560579 |
| Street Address |
651 S MILLEDGE AVE |
| City | ATHENS |
| State | GA |
| Zip Code | 30605-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341119 | Jing Dong | Ophthalmology | 651 S Milledge Ave, Athens, GA 30605-1250 | 2005-07-22 |
| 1104998558 | American Eye Surgery Center, Inc. | Clinic/Center | 651 S Milledge Ave, Athens, GA 30605-1250 | 2006-11-14 |
| 1245257757 | Jing Dong Md PC | Optometrist | 651 S Milledge Ave, Athens, GA 30605-1250 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| Find all providers in zip 30605 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403738 | Charles L. Heaton, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 1240 S Palestine St, Athens, TX 75751-3619 | 2017-08-22 |
| 1295025674 | Pamela Correll, LLC | Eyewear Supplier (Equipment, not the service) | 2440 W Broad St Ste 14, Athens, GA 30606-3428 | 2011-04-19 |
| 1265617336 | Funkhouser Opticians | Eyewear Supplier (Equipment, not the service) | 1206 S Palestine St, Athens, TX 75751-3619 | 2008-01-08 |
| 1013061027 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3654 Atlanta Hwy Ste B, Athens, GA 30606-6979 | 2007-01-23 |
| 1801249313 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3065 Atlanta Hwy, Athens, GA 30606-3334 | 2016-07-20 |
| 1487063186 | Mark Lynn O.d. & Associates, P.C. | Eyewear Supplier (Equipment, not the service) | 1805 Epps Bridge Pkwy, Suite 105, Athens, GA 30606-6145 | 2014-08-06 |
| 1982921029 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3700 Atlanta Hwy, Georgia Square Mall, Athens, GA 30610-7201 | 2010-04-29 |
| 1780851170 | Russell D Springer, P.C. | Eyewear Supplier (Equipment, not the service) | 1000 Hawthorne Ave, Ste A, Athens, GA 30606-2168 | 2008-05-14 |
| 1821266834 | Logan Opticians, Inc. | Eyewear Supplier (Equipment, not the service) | 740 Prince Ave Ste 15, Athens, GA 30606-5903 | 2008-02-12 |
| 1568640480 | Sherrie E Holman | Eyewear Supplier (Equipment, not the service) | 1450 Decatur Pike, Athens, TN 37303-2470 | 2008-02-01 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.