Active NPI
Wayne Eric Jones, O.D.
- Optometrist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9135
- Practice address
- 1327 Troup Hwy
Tyler, TX 75701-4443 - Phone
- (903) 606-4733
- Fax
- (903) 606-5853
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008905 | IL | |
| Optometrist | 152W00000X | 9135 | TX | Primary |
Addresses
Primary practice location
1327 Troup Hwy
Tyler, TX 75701-4443
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other practice location 1
314 Fountains Pkwy
Suite D
Fairview Heights, IL 62208-2165
Phone (618) 622-3939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008905 1 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of North Texas HSC, College of Osteopathic Med, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1327 Troup Hwy
Tyler, TX 75701-4443
Phone (903) 510-8764
Hospital & facility affiliations
- Christus Mother Frances Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9135 | TX | MD | Professional Counselor |
| 046008905 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients | |
| JFJ Eyecare LTD | Optometrist | Past | Accepting new patients |
| JFJ Eyecare, LTD | Optometrist | Past | Accepting new patients |
| Southern Illinois Eyecare PLLC | Optometrist | Past | Accepting new patients |
| Illinois Retina Surgery LTD | Past | Accepting new patients |
Locations
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764
Interoperability endpoints
- ejones140266@christushealth.direct-ci.net
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
-
- Ophthalmic Technician/Technologist
- Swansea, IL
- NPI 1255374559
-
- Optometrist
- Swansea, IL
- NPI 1295778587
-
- Optometrist
- Swansea, IL
- NPI 1376586685
-
- Optometrist
- Chester, IL
- NPI 1902951536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528030095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 TROUP HWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757014443",
"telephone_number": "903-606-4733",
"fax_number": "903-606-5853"
}
],
"practiceLocations": [
{
"address_1": "314 Fountains Pkwy",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Fairview Heights",
"state": "IL",
"postal_code": "622082165",
"country_code": "US",
"telephone_number": "618-622-3939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "WAYNE",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008905",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008905 1",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.