Active NPI
Julie Marie Jones
- Optician
- Williamsburg, KY
National Provider Identifier
1124757539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 111881
- Practice address
- 589 W Highway 92
Williamsburg, KY 40769-1684 - Phone
- (606) 549-8611
- Fax
- (606) 549-8347
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 111881 | KY | Primary |
Addresses
Primary practice location
589 W Highway 92
Williamsburg, KY 40769-1684
Mailing address
175 Walmart Plaza Dr
Monticello, KY 42633-7934
Phone (606) 340-3057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111881 | KY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1124757539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 WALMART PLAZA DR",
"city": "MONTICELLO",
"state": "KY",
"postal_code": "426337934",
"telephone_number": "606-340-3057",
"fax_number": "606-340-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 W HIGHWAY 92",
"city": "WILLIAMSBURG",
"state": "KY",
"postal_code": "407691684",
"telephone_number": "606-549-8611",
"fax_number": "606-549-8347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JULIE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "KY",
"license": "111881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.