R. David Jones, O.D.
Organization Active NPI Optometrist · Santa Rosa, CA
NPI 1376771808 · NPPES record last updated Jun 23, 2009
Key facts
- NPI
- 1376771808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 5543T (CA)
- Legal business name
- R. DAVID JONES, O.D.
- Practice address
- 800 4TH St
Santa Rosa, CA 95404-4505 - Phone
- (707) 542-1554
- Fax
- (707) 542-1252
- NPI assigned
- Jun 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Cheryl B Bernhardt
- Title
- Office Manager
- Phone
- (707) 542-1554
Practitioners 4
-
Bruce P Abramson, O.D.
-
Karin N Boehm, O.D.
-
Alice Chiang, MD
-
Tiffany Louise Moore, O.D.
National Provider Directory
Locations
800 4th St
Santa Rosa, CA 95404
Phone (707) 542-1554
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5543T | CA | Yes |
Addresses
Primary practice location
800 4TH St
Santa Rosa, CA 95404-4505
Mailing address
800 4TH St
Santa Rosa, CA 95404-4505
Phone (707) 542-1554
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0055430 | Other | CA | PTAN |
| SD0055430 | Medicaid | CA |
Other names
- Empire Optometry
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.