Organization Active NPI

Jones Eye Care

  • Optometrist
  • Newport, ME
National Provider Identifier
1104797505
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JONES EYE CARE
Practice address
419 Moosehead TRL
Newport, ME 04953-4054
Phone
(207) 355-3333
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Kiran Jones, ODNPI 1811941255
Title
Owner
Phone
(207) 355-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

419 Moosehead TRL
Newport, ME 04953-4054

Mailing address

419 Moosehead TRL
Newport, ME 04953-4054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260120000077 ME Part B Supplier - Clinic/Group Practice 8729565908 Receives reassigned benefits from 1 practitioner
Practice locations: Newport, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2339392Jones Eye Care419 Moosehead Trail, Newport, ME 04953Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1104797505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534054",
            "telephone_number": "207-355-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-355-3333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.