Jones Pembrooke Opticians, LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

JONES PEMBROOKE OPTICIANS, LLC

Practice address

11355 Pembrooke SQ
Suite 106
Waldorf, MD 20603-4805

Phone

(301) 645-6822

Fax

(301) 705-8785

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Kistler Ward

Title

Owner/Optician

Phone

(301) 645-6822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1902006299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11355 PEMBROOKE SQ",
            "address_2": "SUITE 106",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034805",
            "telephone_number": "301-645-6822",
            "fax_number": "301-705-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11355 PEMBROOKE SQ",
            "address_2": "SUITE 106",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034805",
            "telephone_number": "301-645-6822",
            "fax_number": "301-705-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES PEMBROOKE OPTICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KISTLER",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "301-645-6822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron C Johnson, LGPC, NCC
• Starr Johnson
• Teivon Johnson
• Tonyia Dee Johnson, M.ED., LCADC, LCPC
• Gloria Alice Johnston, NP
• Amber Lee Jones, DC
• Ashley Jones
• Brianna Jones
• Cameron Jones Sr., PT
• Carie Jones

• Optician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Optician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.