DR. KENNETH ALLEN JONES (O.D.) – Corneal and Contact Management Optometrist, NPI 1265523831

DR. KENNETH ALLEN JONES (O.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT002048 (GA). The NPI Number for DR. KENNETH ALLEN JONES (O.D.) is 1265523831

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ALLEN JONES (O.D.)
NPI
1265523831
Phone
(678) 310-0166
Address
3621 Vinings Slope SE
Enumeration Date
27 September 2006
Last Update Date
26 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704311713
Graduation Year
1980 (46 years ago)
PAC ID
3476505496
Group Practice PAC ID
4688712367
Professional Enrollment ID
I20050303000868
Address ID
GA303398107AT2900XSEMA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

Provider Addresses for DR. KENNETH ALLEN JONES (O.D.)

  • 3621 Vinings Slope SE

    Suite 4150

    Atlanta, GA 303394107

    Phone: (678) 310-0166

    Fax: (678) 310-0168

    Type: Location

  • 4495 REDAN CT

    SMYRNA, GA 300809318

    Phone: (770) 688-1901

    Fax: (678) 310-0168

    Type: Mailing

  • Costco, 6350, Peachtree Dunwoody Road, Atlanta, Fulton County, Georgia, 30328, United States

    ATLANTA, GA 30328

    Phone: (770) 688-1901

    Fax: (770) 688-1902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $347.

Total Amount is formed as General ($347) + Research ($0) + Ownership ($0) = $347.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($196).

Total Amount

$347

General + Research + Ownership

Payments

3

Total payment records

General Amount

$347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050303000868IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30339)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688712367View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

Is there an official ID for DR. KENNETH ALLEN JONES (O.D.) in U.S. healthcare records?
The official identifier for DR. KENNETH ALLEN JONES (O.D.) is NPI 1265523831.
Is there an active status for DR. KENNETH ALLEN JONES (O.D.)?
For scheduling context, DR. KENNETH ALLEN JONES (O.D.) is shown as active in the registry.
What area of care is associated with DR. KENNETH ALLEN JONES (O.D.)?
DR. KENNETH ALLEN JONES (O.D.)'s record emphasizes Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH ALLEN JONES (O.D.) associated with Atlanta?
Public fields place DR. KENNETH ALLEN JONES (O.D.) around Atlanta, Georgia. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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