GEORGIA CENTER FOR SIGHT
NPI 1164833380
Optometrist in Greensboro, GA

Active since May 09, 2014CLIA 11D2063636 · Waiver
1110 COMMERCE DR, SUITE 112, GREENSBORO, GA 30642(706) 453-1922(706) 453-1926 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Jul 3, 2019 (2 updates tracked since 2019).

About Georgia Center For Sight NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA CENTER FOR SIGHT (NPI 1164833380) is a healthcare organization registered as an optometrist in Greensboro, Georgia and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Jing Dong, Owner, as its authorized official.

NPPES Registry Identity

NPI1164833380
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJING DONG MD PC
Location Address1110 COMMERCE DR, SUITE 112Greensboro, GA 30642-7444
Mailing Address1110 Commerce Dr, Suite 112Greensboro, GA 30642-7444 · (706) 453-1922 · Fax (706) 453-1926
Fax(706) 453-1926
Organization SubpartNo
Authorized OfficialJing DongOwner · (706) 546-9290
Enumeration DateMay 9, 2014
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
NPI 1164833380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in GA · OPT002596 Licensed in GA · OPT002405
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOphthalmologyTaxonomy 207W00000X · License 045447 (GA)
1110 COMMERCE DR, Greensboro, GA 30642

Other Names 1

Doing Business AsGeorgia Center For Sight

Other Identifiers 1

Medicaid000791568KGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2063636

Jing Dong, MD · Athens, GA
Active · expires Aug 6, 2027
CLIA Number11D2063636
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorClare S. Clifton
Laboratory Phone(706) 546-9290
Laboratory LocationJing Dong, MD651 S Milledge Avenue, Athens, GA 30605
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Jing Dong MD PC carries, from the Medicare DMEPOS supplier directory.

Jing Dong MD PC

DMEPOS supplier · Greensboro, GA

Accepts Medicare assignment

Jing Dong MD PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34358132
Medicare Participant SinceFebruary 1, 2006
Supplier Location1110 Commerce Drive Suite 112Greensboro, GA 30642
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
1110 COMMERCE DR, SUITE 112
GREENSBORO, GA 30642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jing Dong MD PC's NPI number?

The NPI number for Jing Dong MD PC is 1164833380. It was assigned to this organization in the NPPES registry on May 9, 2014. The provider is doing business as Georgia Center For Sight.

Where is Jing Dong MD PC located?

Jing Dong MD PC is located at 1110 Commerce Dr Suite 112, Greensboro, GA 30642. The listed phone number is (706) 453-1922.

What is Jing Dong MD PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Jing Dong MD PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Jing Dong MD PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Jing Dong MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2063636) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jing Dong MD PC was last updated on February 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.