Active NPI
Matthew Allan Jones, OD
- Optometrist
- Spokane, WA
National Provider Identifier
1679663090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1597
- Practice address
- 124 E Rowan Ave
Ste 101
Spokane, WA 99207-1214 - Phone
- (509) 484-6550
- Fax
- (509) 484-0082
- NPI assigned
- Oct 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1597 | WA | Primary |
Addresses
Primary practice location
124 E Rowan Ave
Ste 101
Spokane, WA 99207-1214
Mailing address
124 E Rowan Ave
Ste 101
Spokane, WA 99207-1214
Phone (509) 484-6550
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107902 | Medicaid | WA | |
| 86252 | Other | WA | LABOR AND INDUSTRY |
| DC9602 | Other | WA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1597 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew a Jones OD PS | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Spokane, WA
- NPI 1750471173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1679663090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E ROWAN AVE",
"address_2": "STE 101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071214",
"telephone_number": "509-484-6550",
"fax_number": "509-484-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E ROWAN AVE",
"address_2": "STE 101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992071214",
"telephone_number": "509-484-6550",
"fax_number": "509-484-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MATTHEW",
"middle_name": "ALLAN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2107902",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "86252",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC9602",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.