Active NPI
Larry D Jones, OD
- Optometrist
- Pauls Valley, OK
National Provider Identifier
1265512677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 829
- Practice address
- 320 Melville Drive
Pauls Valley, OK 73075-6631 - Phone
- (405) 238-5566
- NPI assigned
- Oct 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 829 | OK | Primary |
Addresses
Primary practice location
320 Melville Drive
Pauls Valley, OK 73075-6631
Mailing address
PO Box 602
Pauls Valley, OK 73075
Phone (405) 238-5566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100764210A | Medicaid | OK |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1265512677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "73075",
"telephone_number": "405-238-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 MELVILLE DRIVE",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730756631",
"telephone_number": "405-238-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LARRY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100764210A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.