Organization Active NPI

John a Jones O.D., P.S.C.

  • Optometrist
  • Jackson, KY
National Provider Identifier
1710131248
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
904DT Issued in KY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
77009041MedicaidKY

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.