Organization Active NPI

Charles Lowell Jones Jr OD

  • Eyewear Supplier
  • Indianola, MS
National Provider Identifier
1801071675
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
444 Issued in MS
Legal business name
CHARLES LOWELL JONES JR OD
Practice address
224 Virginia St
Indianola, MS 38751-2221
Phone
(662) 887-3671
Fax
(662) 887-3675
NPI assigned
Dec 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Charles L Jones Jr., OD
Title
Owner/Optometrist
Phone
(662) 887-3671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 444 MS Primary

Addresses

Primary practice location

224 Virginia St
Indianola, MS 38751-2221

Mailing address

224 Virginia St
Indianola, MS 38751-2221
Phone (662) 887-3671

Other identifiers 1

IdentifierTypeStateIssuer
00087750MedicaidMS

National Provider Directory

National Provider Directory

Locations

224 Virginia St
Indianola, MS 38751
Phone (662) 887-3671

NPI Registry JSON

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1801071675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 VIRGINIA ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512221",
            "telephone_number": "662-887-3671",
            "fax_number": "662-887-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 VIRGINIA ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512221",
            "telephone_number": "662-887-3671",
            "fax_number": "662-887-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES LOWELL JONES JR OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "662-887-3671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087750",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.