Active NPI
John a Jones O.D., P.S.C.
- Optometrist
- Jackson, KY
National Provider Identifier
1710131248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 904DT
- Legal business name
- JOHN A JONES O.D., P.S.C.
- Practice address
- 30 Howell Lane
Jackson, KY 41339-8657 - Phone
- (606) 666-2849
- Fax
- (606) 666-2857
- NPI assigned
- Nov 11, 2008
- Last updated
- Nov 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John A Jones, O.D.
- Title
- President
- Phone
- (606) 666-2849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 904DT | KY | Primary |
Addresses
Primary practice location
30 Howell Lane
Jackson, KY 41339-8657
Mailing address
P.O. Box 889
Jackson, KY 41339-0889
Phone (606) 666-2849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77009041 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
30 Howell Ln
Jackson, KY 41339
Phone (606) 666-2849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1710131248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 889",
"city": "JACKSON",
"state": "KY",
"postal_code": "413390889",
"telephone_number": "606-666-2849",
"fax_number": "606-666-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HOWELL LANE",
"city": "JACKSON",
"state": "KY",
"postal_code": "413398657",
"telephone_number": "606-666-2849",
"fax_number": "606-666-2857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A JONES O.D., P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-11",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-666-2849",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "904DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77009041",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, KY
- Jackson Physician Corp
- Jackson Womens Care
- Christopher Jackson, APRN
- Jamco of Ky. Inc. (Jackson Physical Therapy)
- Jett SNF Operations LLC (Breathitt Health & Rehabilitation)
- Aaron William Johnson, D.O.
- Alexandria Erin Whitt Johnson, PHARMD
- Eunice Louise Johnson, MD
- Tammy Jones
- Jordan Drug, Inc. (Jackson Apothecary)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.