{"npi":"1679790141","type":"NPI-2","status":"active","name":{"display":"Jabaley Vision Associates","other":[],"organization_name":"JABALEY VISION ASSOCIATES","authorised_official":"Samuel Jabaley"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"GA","license":"1752"}]},"addresses":[{"purpose":"LOCATION","street_1":"1333 DAMASCUS CIRCLE","city":"BLUE RIDGE","state":"GA","postal_code":"30513","country_code":"US","phone":"7069462020","fax":"7069462021"},{"purpose":"MAILING","street_1":"1333 DAMASCUS CIRCLE","city":"BLUE RIDGE","state":"GA","postal_code":"30513","country_code":"US","phone":"7069462020","fax":"7069462021"}],"license":{"state":"GA","number":"1752"},"identifiers":[{"type_code":"01","label":"Other","value":"4485240001","state":"GA","issuer":"DMERC MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240131000653","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"GA","pac_id":"2365477817"}]},"enumeration_date":"2007-04-19","last_updated":"2008-03-28","_meta":{"source":"NPPES","snapshot_date":"2008-03-28","doc_url":"https://findmynpi.com/api"}}