Individual provider Active NPI

Anna T Jones, O.D.

  • Optometrist
  • Fort Campbell, KY
National Provider Identifier
1295966828
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2048 Issued in AZ
Practice address
650 Joel Dr
Attn: Lapointe Health Clinic Optometry
Fort Campbell, KY 42223-5318
Phone
(270) 956-0304
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2892 TN
Optometrist 152W00000X 2048 AZ Primary

Addresses

Primary practice location

650 Joel Dr
Attn: Lapointe Health Clinic Optometry
Fort Campbell, KY 42223-5318

Mailing address

220N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 835-4472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922001586 AZ Practitioner - Optometry 8325351836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

7475 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 663-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2892TNMDClinical Psychologist
2048AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Source, LLC Optometrist CurrentSince Sep 4, 2018 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Jun 7, 2021 Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

230 W Continental Rd
Ste 408
Green Valley, AZ 85622
Phone (520) 327-2020

6987 N Oracle Rd
Tucson, AZ 85704
Phone (520) 297-2501

7475 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 663-5373

2820 N Campbell Ave
Tucson, AZ 85719
Phone (520) 323-3937

7125 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 296-4157

440 N Alvernon Way
Tucson, AZ 85711
Phone (520) 327-6211

4777 E Sunrise Dr
Ste 108
Tucson, AZ 85718

2233 E Speedway Blvd
Tucson, AZ 85719
Phone (520) 327-9411

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1295966828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220N MCKEMY AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262654",
            "telephone_number": "480-835-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "ATTN: LAPOINTE HEALTH CLINIC OPTOMETRY",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-956-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2892",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.