Richard D Jones, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

140T Issued in WY

Practice address

1708 Stampede Ave
Cody, WY 82414-4829

Phone

(307) 587-2404

Fax

(307) 527-7368

NPI assigned

Nov 2, 2005

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jacob G. Despain OD PC

  • Optometrist
  • Lovell, WY
  • NPI 1326459835
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1477544161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824141300",
            "telephone_number": "307-587-2404",
            "fax_number": "307-527-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 STAMPEDE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144829",
            "telephone_number": "307-587-2404",
            "fax_number": "307-527-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "140T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013959800",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "830306295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "305326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "759870709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Johnson
• James L Johnson II, M.D.
• Jude T. Johnson, DPT
• Anna S Jones, M.A. CCC-SLP
• Barton E Jones, CRNA
• Mary Joy, OT
• Ka Skates, LLC
• Vincent J Kalkowski, D.C.
• Theresa Marie Karter, NP-C
• Kaydee

• All providers in Cody, WY
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.