Active NPI
Edward Lawrence Jones & Assoc
- Optometrist
- Kent, WA
National Provider Identifier
1144353228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1651
- Legal business name
- EDWARD LAWRENCE JONES & ASSOC
- Practice address
- 601 W Gowe St
Kent, WA 98032-5745 - Phone
- (253) 854-2028
- Fax
- (253) 854-2744
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maxine Jones
- Title
- V.P. Administration
- Phone
- (206) 941-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1651 | WA | Primary |
Addresses
Primary practice location
601 W Gowe St
Kent, WA 98032-5745
Mailing address
13530 SE 181St PL
Renton, WA 98058-6806
Phone (206) 941-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030187 | Medicaid | WA | |
| G8880384 | Other | WA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
620 SE Everett Mall Way
Ste 320
Everett, WA 98208
Phone (425) 355-2377
601 W Gowe St
Kent, WA 98032
Phone (253) 854-2028
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Everett, WA
- NPI 1295181626
-
- Optometrist
- Everett, WA
- NPI 1669436929
-
- Optician
- Everett, WA
- NPI 1578617197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1144353228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13530 SE 181ST PL",
"city": "RENTON",
"state": "WA",
"postal_code": "980586806",
"telephone_number": "206-941-2000",
"fax_number": "425-235-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W GOWE ST",
"city": "KENT",
"state": "WA",
"postal_code": "980325745",
"telephone_number": "253-854-2028",
"fax_number": "253-854-2744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD LAWRENCE JONES & ASSOC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MAXINE",
"authorized_official_title_or_position": "V.P. ADMINISTRATION",
"authorized_official_telephone_number": "206-941-2000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "1651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2030187",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "G8880384",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.