Individual provider Active NPI

Edward Lawrence Jones, O.D.

  • Hearing Instrument Specialist
  • Kent, WA
National Provider Identifier
1164590030
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA 00000679 Issued in WA
Practice address
601 W Gowe St
Kent, WA 98032-5745
Phone
(253) 854-2028
Fax
(253) 854-2744
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00001651 WA
Hearing Instrument Specialist 237700000X HA 00000679 WA Primary

Addresses

Primary practice location

601 W Gowe St
Kent, WA 98032-5745

Mailing address

601 W Gowe St
Kent, WA 98032-5745
Phone (253) 854-2028

Other identifiers 2

IdentifierTypeStateIssuer
2030187MedicaidWA
G8880385OtherWAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20070626000557 WA Practitioner - Optometry 3173415551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00001651WAMDOptometrist
HA 00000679WAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Lawrence Jones & Assoc Optometrist CurrentSince Oct 1, 1986 Accepting new patients
Eyes Rite Optical Group LLC PastSince Nov 3, 2019 Accepting new patients

Locations

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

603 W Gowe St
Kent, WA 98032
Phone (253) 854-2028

13550 Aurora Ave N
Seattle, WA 98133
Phone (206) 361-1594

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1164590030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "JONES",
        "first_name": "EDWARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "00001651",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA 00000679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030187",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8880385",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.