Active NPI
Thomas E Jones, OD
- Optometrist
- Nixa, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02977
- Practice address
- 940 W Mount Vernon St
Suite 120
Nixa, MO 65714-9609 - Phone
- (417) 724-5335
- Fax
- (417) 724-5333
- NPI assigned
- Aug 13, 2006
- Last updated
- Jan 30, 2009
- 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 | T02977 | MO | Primary |
Addresses
Primary practice location
940 W Mount Vernon St
Suite 120
Nixa, MO 65714-9609
Mailing address
940 W Mount Vernon St
Suite 120
Nixa, MO 65714-9609
Phone (417) 724-5335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316675719 | Medicaid | MO | |
| P00653956 | Other | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
940 W Mount Vernon St
120 MC Eye Spec Optometry Nixa
Nixa, MO 65714-9614
Phone (417) 724-5335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Optometrist | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Optometrist | Past | Accepting new patients |
Locations
940 W Mount Vernon St
Ste 120
Nixa, MO 65714
Phone (417) 724-5335
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Interoperability endpoints
- tjones2959@directb.mercy.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Optometrist
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1275545659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 W MOUNT VERNON ST",
"address_2": "SUITE 120",
"city": "NIXA",
"state": "MO",
"postal_code": "657149609",
"telephone_number": "417-724-5335",
"fax_number": "417-724-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 W MOUNT VERNON ST",
"address_2": "SUITE 120",
"city": "NIXA",
"state": "MO",
"postal_code": "657149609",
"telephone_number": "417-724-5335",
"fax_number": "417-724-5333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316675719",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00653956",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.