Kristine Marie Jones, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003732A Issued in IN

Practice address

700 W Ireland Rd
South Bend, IN 46614

Phone

(574) 299-1471

Fax

(574) 299-1477

NPI assigned

Jun 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Kristine Jones Eyecare Inc.

  • Optometrist
  • South Bend, IN
  • NPI 1215569918
  NPD Authorized official

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1326300666",
    "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": "46614",
            "telephone_number": "574-299-1471",
            "fax_number": "574-299-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Elkhart Rd",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265807",
            "country_code": "US",
            "telephone_number": "574-891-6073",
            "fax_number": "574-875-9915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W Ireland Rd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "46614",
            "country_code": "US",
            "telephone_number": "574-299-1471",
            "fax_number": "574-299-1477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003732A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300003823",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300005932",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jones & Co. Counseling, LLC
• Amy Jones, COTA
• Beverly Jones, MSW
• Ellen Jones, LSW
• Erin E Jones, MSW
• Lisa Gail Jones, BCBA
• Victor F Jones II, M.D.
• Hope C Jordan, DO
• Laura Lynn Jordan, RD, CD
• Patricia Ann Jordan, MD

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• 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.