● Active Type 2 · Organization
Jing Dong M.D. P.c.
Eyewear Supplier·Athens, GA· NPI 1578729075
·
Enumerated 2008 · 17 years on NPI
Jing Dong M.D. P.c. is 1 of 526 eyewear supplier organizations in Georgia.
NPI age
17 years
Enumerated 2008-08-04
Primary specialty
Eyewear Supplier
Practice locations
4
3 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Chief Revenue Cycle Officer
Last NPPES update
2023-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
17 years
↓ 2 yr below median
Practice locations
4
3 secondary on file
NPI lifetime · 2008 → 2026
2008-08Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
651 S Milledge Ave
Athens, GA 306051250
📞 7065469290fax 7065464938
Mailing address
651 South Milledge Ave
Athens, GA 30605
📞 7065469290
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
5 S McIntosh St
Elberton, GA 306352465
📞 7062837510fax 7062837570
Location 3
1110 Commerce Dr Ste 112
Greensboro, GA 306427444
📞 7064531922fax 7064531926
Location 4
12877 Jones Street, Ste A
Lavonia, GA 305534271
📞 7063560575fax 7063560579
Authorized official
Candice B Davis
Chief Revenue Cycle Officer
📞 9169907590
Individual providers at this organization
3 individual providers on file at this primary practice address.
Specialties
-
Eyewear Supplier
Primary
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
GA license #045447 taxonomy 332H00000X
Identifiers
| Type | Value | Notes |
| 01 (GA) |
1649681768 |
NPI |
| 01 (GA) |
1164833380 |
NPI |
| 01 (GA) |
1578729075 |
NPI |
| 01 (GA) |
5755300002 |
MEDICARE PTAN |
| 05 (GA) |
000791568H |
|
| 01 (GA) |
5755300003 |
MEDICARE PTAN |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
3 individual providers on file at this primary address.
Plus 3 secondary practice locations.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.