Jerry Raymond Jones, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1004TX Issued in WA

Practice address

13909 Meridian E
A4
Puyallup, WA 98373-9180

Phone

(253) 841-1575

Fax

(253) 840-5543

NPI assigned

Sep 8, 2005

Last updated

Jun 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Renton Vision Center Inc PS

  • Optometrist
  • Puyallup, WA
  • NPI 1871683144
  Authorized official Same address or phone
• Willows Optical Shop Inc.

  • Optician
  • Puyallup, WA
  • NPI 1831302223
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1467446211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23896",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980930896",
            "telephone_number": "253-841-1575",
            "fax_number": "253-840-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E",
            "address_2": "A4",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-841-1575",
            "fax_number": "253-840-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JERRY",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "1004TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050102",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Kaye Jones-O'Niel
• Brittany M Jones-Renz, M.S., LMFT
• Alberto PF Jones
• Chandra Lacey Jones, AA
• Grayson Jones
• Noel M Jones, BA
• Salene Jones, PH.D.
• Tiera Jones, RN
• Todd Dwyer Jones, M.D.
• Jaycee Rose Jonson

• Corneal and Contact Management Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Corneal and Contact Management Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.