Active NPI
Douglas Challenor Jones, O.D.
- Optometrist
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2773
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6208215 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2773 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Institute, PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | 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
- 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.
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
dba Eye Associates of Pinellas
- Ophthalmology Physician
- Pinellas Park, FL
- NPI 1073625331
Optometrist
-
- Optometrist
- Brandon, FL
- NPI 1376734772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.