Individual provider Active NPI

Jordi S. Jones, O.D.

  • Optometrist
  • Hartsville, SC
National Provider Identifier
1023066115
Registry record updated Dec 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1242 Issued in SC
Practice address
122 S 4TH St
Hartsville, SC 29550-4220
Phone
(843) 332-8323
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1242 SC Primary

Addresses

Primary practice location

122 S 4TH St
Hartsville, SC 29550-4220

Mailing address

122 S 4TH St
Hartsville, SC 29550-4220
Phone (843) 332-8323

Other identifiers 1

IdentifierTypeStateIssuer
D12421MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824000955 SC Practitioner - Optometry 6305810409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones Family Eyecare, PCGroup PAC ID 3476528662, 2 clinicians

Practice addresses (Care Compare)

122 S 4TH St
Hartsville, SC 29550-4220
Phone (843) 332-8323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1242SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Eyecare, PC Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Owens Eyecare Center Inc Optometrist Past Accepting new patients

Locations

122 S 4th St
Hartsville, SC 29550
Phone (803) 736-7200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198972800000",
    "number": "1023066115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504220",
            "telephone_number": "843-332-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504220",
            "telephone_number": "843-332-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JORDI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2007-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12421",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.