Individual provider Active NPI

Douglas Challenor Jones, O.D.

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1063587327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2773 Issued in FL
Practice address
1801 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2020
Phone
(561) 683-5710
NPI assigned
Nov 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OPC2773 FL Primary

Addresses

Primary practice location

1801 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2020

Mailing address

928 Falling Water Rd
Weston, FL 33326-3554
Phone (954) 636-2230

Other identifiers 1

IdentifierTypeStateIssuer
6208215MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040921000106 FL Practitioner - Optometry 1557339223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

2393 SW College Rd
Ocala, FL 34474-8433
Phone (352) 291-5098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC2773FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 1, 2024 Accepting new patients

Locations

1661 SE US Highway 19
Crystal River, FL 34429
Phone (352) 563-1666

2393 SW College Rd
Ocala, FL 34471
Phone (352) 291-5098

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

10041 US Highway 19
Ste A
Port Richey, FL 34668
Phone (727) 859-9009

10755 Park Blvd
Seminole, FL 33772
Phone (727) 392-0907

13161 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0410

4359 35th St N
St Petersburg, FL 33714
Phone (727) 525-3959

3830 Sun City Center Blvd
Ste 105
Sun City Center, FL 33573
Phone (813) 634-6155

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: djones@eapinellas.intellechartdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063587327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 FALLING WATER RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263554",
            "telephone_number": "954-636-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PALM BEACH LAKES BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012020",
            "telephone_number": "561-683-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOUGLAS",
        "middle_name": "CHALLENOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6208215",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.