Individual provider Active NPI

Zachary Taylor Jones, O.D.

  • Optometrist
  • Lansing, IL
National Provider Identifier
1871757062
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
346.002771046.010130 Issued in IL
Practice address
3224 Ridge Rd
Lansing, IL 60438-3129
Phone
(708) 895-4422
NPI assigned
Jul 16, 2008
Last updated
Nov 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 346.002771046.010130 IL Primary

Addresses

Primary practice location

3224 Ridge Rd
Lansing, IL 60438-3129

Mailing address

3224 Ridge Rd
Lansing, IL 60438-3129
Phone (708) 895-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920001691 IN Practitioner - Optometry 9739245218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Region Eye Care LLCGroup PAC ID 0648521203, 2 clinicians

Practice addresses (Care Compare)

10413 Calumet Ave
Munster, IN 46321-4059
Phone (219) 595-0580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
346.002771046.010130ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Region Eye Care LLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients

Locations

10413 Calumet Ave
Munster, IN 46321
Phone (219) 595-0580

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1871757062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383129",
            "telephone_number": "708-895-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 RIDGE RD",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383129",
            "telephone_number": "708-895-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ZACHARY",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "346.002771046.010130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.