Jon a. Skillman

Primary specialty

OptometristTaxonomy code 152W00000X

License

0773DT Issued in KY

Legal business name

JON A. SKILLMAN

Practice address

233 Williamsburg SQ
Owensboro, KY 42303-6473

Phone

(270) 684-3234

Fax

(270) 684-3151

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jon A Skillman, O.D.

Title

Optometrists

Phone

(270) 684-3234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Jon A. Skillman & Associates Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1679645394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 TREEHAVEN BND",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031785",
            "telephone_number": "270-684-3234",
            "fax_number": "270-684-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WILLIAMSBURG SQ",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423036473",
            "telephone_number": "270-684-3234",
            "fax_number": "270-684-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON A. SKILLMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "SKILLMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRISTS",
        "authorized_official_telephone_number": "270-684-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0773DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77007730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jon A. Skillman & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan M Johnson, CNM, APRN
• Taylor Elise Johnson, DPT
• Andrea P Johnston, M.D.
• Shirlene Ann Joines
• Alex Jolly, APRN
• Jones Medical Corp
• Jones Medical Corp
• Jones Medical Corp Dba Bridgewater Medical Center
• Chesley R Jones, APRN
• David Eugene Jones, MD

• Optometrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optometrist in Kentucky

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