Organization Active NPI

Dr. Kristine Jones Eyecare Inc.

  • Optometrist
  • South Bend, IN
National Provider Identifier
1215569918
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. KRISTINE JONES EYECARE INC.
Practice address
700 W Ireland Rd
South Bend, IN 46614-3810
Phone
(574) 299-1471
Fax
(574) 299-1477
NPI assigned
Feb 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Kristine Jones, O.D.NPI 1326300666
Title
Owner
Phone
(812) 272-5718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

700 W Ireland Rd
South Bend, IN 46614-3810

Mailing address

30866 Field Stone Dr
Granger, IN 46530-9381
Phone (812) 272-5718

Other practice location 1

4024 Elkhart Rd Ste 2
Goshen, IN 46526-5801
Phone (574) 891-6073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1215569918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30866 FIELD STONE DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309381",
            "telephone_number": "812-272-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143810",
            "telephone_number": "574-299-1471",
            "fax_number": "574-299-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Elkhart Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265801",
            "country_code": "US",
            "telephone_number": "574-891-6073",
            "fax_number": "574-875-9915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. KRISTINE JONES EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-272-5718",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.