Organization
JONES VISION ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ALLEN JONES OD (OWNER)
(770) 431-1713
Entity
Organization
Contact information
Practice address
2900 CUMBERLAND MALL SE, ATLANTA, GA 30339-8107
(770) 431-1713
Mailing address
4495 REDAN CT, SMYRNA, GA 30080-9318
(770) 431-1713
(770) 719-4392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002048
GA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173891
SC MCARE
GA
05
—
283422181A
—
GA
01
—
GRP5110
MEDICARE GRP
GA
Enumeration date
07/31/2007
Last updated
05/03/2023
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