NPIMap

Organization Active NPI

Richard D Jones Odpc

Doing business as Family Vision Clinic

  • Optometrist
  • Cody, WY
National Provider Identifier
1700867884
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
140T Issued in WY
Legal business name
RICHARD D JONES ODPC
Doing business as
Family Vision Clinic
Practice address
1708 Stampede Ave
Cody, WY 82414-4829
Phone
(307) 587-2404
Fax
(307) 527-7368
NPI assigned
Nov 7, 2005
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Mr. Richard D Jones, ODNPI 1477544161
Title
Owner President
Phone
(307) 587-2404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 140T WY Primary

Addresses

Primary practice location

1708 Stampede Ave
Cody, WY 82414-4829

Mailing address

PO Box 1300
Cody, WY 82414-1300
Phone (307) 587-2404

Other identifiers 4

IdentifierTypeStateIssuer
013959800MedicaidWY
0738340002OtherDEMERC
305326OtherBCBS
759870709OtherRAIROAD MEDICARE

Other names 1

  • Family Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1700867884",
    "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": {
        "organization_name": "RICHARD D JONES ODPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "307-587-2404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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": "DEMERC",
            "identifier": "0738340002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "305326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIROAD MEDICARE",
            "identifier": "759870709",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.