Active NPI
Demetric Jones, OD
- Optometrist
- Davis Monthan Afb, AZ
National Provider Identifier
1194515312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-F53-TA-D82
- Practice address
- 4175 S. Alamo Ave
Davis Monthan Afb, AZ 85707-4405 - Phone
- (520) 228-2615
- NPI assigned
- May 9, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-F53-TA-D82 | AL | Primary |
Addresses
Primary practice location
4175 S. Alamo Ave
Davis Monthan Afb, AZ 85707-4405
Mailing address
4175 S. Alamo Ave
Davis Monthan Afb, AZ 85707-4405
Phone (520) 228-2615
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 |
|---|---|---|---|
| S-F53-TA-D82 | AL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1194515312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 S. ALAMO AVE",
"city": "DAVIS MONTHAN AFB",
"state": "AZ",
"postal_code": "857074405",
"telephone_number": "520-228-2615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 S. ALAMO AVE",
"city": "DAVIS MONTHAN AFB",
"state": "AZ",
"postal_code": "857074405",
"telephone_number": "520-228-2615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEMETRIC",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-09",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-F53-TA-D82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis Monthan Afb, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.