Active NPI
Eric Brendon Jones, O.D.
- Optometrist
- Bullhead City, AZ
National Provider Identifier
1285694174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1499
- Practice address
- 2840 Hwy. 95
Suite #108
Bullhead City, AZ 86442 - Phone
- (928) 758-2020
- Fax
- (928) 758-4544
- NPI assigned
- Mar 24, 2006
- 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 | 1499 | AZ | Primary |
Addresses
Primary practice location
2840 Hwy. 95
Suite #108
Bullhead City, AZ 86442
Mailing address
2840 Hwy. 95
Suite #108
Bullhead City, AZ 86442
Phone (928) 758-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285694174 | Other | AZ | NPI |
| Z114997 | Other | AZ | PTAN |
| Z114980 | Other | AZ | PTAN |
| 1760692768 | Other | AZ | NPI |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1499 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado River Eye Care, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Bullhead City, AZ
- NPI 1760692768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227571200000",
"number": "1285694174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 HWY. 95",
"address_2": "SUITE #108",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86442",
"telephone_number": "928-758-2020",
"fax_number": "928-758-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 HWY. 95",
"address_2": "SUITE #108",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "86442",
"telephone_number": "928-758-2020",
"fax_number": "928-758-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ERIC",
"middle_name": "BRENDON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2008-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1285694174",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z114997",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z114980",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1760692768",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.