Organization Active NPI

Jones Eye Associates, PA

Doing business as Newport Eye Care

  • Corneal and Contact Management Optometrist
  • Newport, ME
National Provider Identifier
1881649671
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT867 Issued in ME
Legal business name
JONES EYE ASSOCIATES, PA
Doing business as
Newport Eye Care
Practice address
419 Moosehead TRL
Newport, ME 04953-4054
Phone
(207) 355-3333
Fax
(207) 368-2002
NPI assigned
May 23, 2006
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Ian M Jones, ODNPI 1992797179
Title
Owner
Phone
(207) 355-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT867 ME Primary

Addresses

Primary practice location

419 Moosehead TRL
Newport, ME 04953-4054

Mailing address

419 Moosehead TRL
Newport, ME 04953-4054
Phone (207) 355-3333

Other identifiers 3

IdentifierTypeStateIssuer
431998600MedicaidME
431998601MedicaidME
431998602MedicaidME

Other names 1

  • Newport Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051021000498 ME Part B Supplier - Clinic/Group Practice 3375569072 Receives reassigned benefits from 3 practitioners
Practice locations: Newport, ME; Waterville, ME

National Provider Directory

National Provider Directory

Locations

419 Moosehead Trl
Newport, ME 04953
Phone (207) 355-3333

270 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 250-4377

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1881649671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534054",
            "telephone_number": "207-355-3333",
            "fax_number": "207-368-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534054",
            "telephone_number": "207-355-3333",
            "fax_number": "207-368-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES EYE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-355-3333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "OPT867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431998600",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431998601",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431998602",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.