Active NPI
Edward Lawrence Jones, O.D.
- Hearing Instrument Specialist
- Kent, WA
National Provider Identifier
1164590030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA 00000679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2030187 | Medicaid | WA | |
| G8880385 | Other | WA | MEDICARE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00001651 | WA | MD | Optometrist |
| HA 00000679 | WA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Lawrence Jones & Assoc | Optometrist | Current | Accepting new patients |
| Eyes Rite Optical Group LLC | Past | 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.
-
- Optometrist
- Kent, WA
- NPI 1144353228
-
- Optician
- Bellingham, WA
- NPI 1497891725
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.