Individual provider Active NPI

Robert Randall Jones Jr., MD

  • Ophthalmology Physician
  • Chubbuck, ID
National Provider Identifier
1912015330
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M6955 Issued in ID
Practice address
5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061
Phone
(208) 232-4133
Fax
(208) 529-6602
NPI assigned
Aug 26, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X M6955 ID Primary

Addresses

Primary practice location

5620 Harvest Springs Blvd
Chubbuck, ID 83202-1061

Mailing address

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600

Other practice location 1

1951 Bench Rd
#C
Pocatello, ID 83201
Phone (208) 238-3377

Other identifiers 5

IdentifierTypeStateIssuer
11344491OtherIDMEDICARE PTAN
19554OtherIDB/C
000223700MedicaidID
180029065OtherR/R MEDICARE
000010001691OtherIDB/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080912000408 ID Practitioner - Ophthalmology 6507932605 Reassigns benefits to 1 organization
Practice locations: Blackfoot, ID; Malad City, ID; Montpelier, ID; Pocatello, ID

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Washington School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Care of Eastern IdahoGroup PAC ID 2466611744, 11 clinicians

Practice addresses (Care Compare)

1441 Pkwy Dr
Blackfoot, ID 83221-1667
Phone (208) 785-3377

150 N 200
Malad City, ID 83252-1239
Phone (208) 766-2231

1951 Bench Rd
Pocatello, ID 83201-2073
Phone (208) 238-3377

2100 Providence Way
Idaho Falls, ID 83404-4951
Phone (208) 529-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6955IDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles P. Lawless, M.D., P.a. Ophthalmology CurrentSince Mar 26, 2026 Accepting new patients
Premier Eye Care of Eastern Idaho Ophthalmology CurrentSince Dec 21, 2011 Accepting new patients
Country Hills Eye Center Ophthalmology PastSince Sep 1, 2018 Accepting new patients

Locations

5620 Harvest Springs Blvd
Chubbuck, ID 83202
Phone (208) 232-4133

2100 Providence Way
Idaho Falls, ID 83404
Phone (208) 529-6600

1777 E Clark St
Ste 310
Pocatello, ID 83201
Phone (208) 232-4133

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rjones261930@ahs.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1912015330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PROVIDENCE WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044951",
            "telephone_number": "208-529-6600",
            "fax_number": "208-529-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 HARVEST SPRINGS BLVD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832021061",
            "telephone_number": "208-232-4133",
            "fax_number": "208-529-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 Bench Rd",
            "address_2": "#C",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "83201",
            "country_code": "US",
            "telephone_number": "208-238-3377",
            "fax_number": "208-238-8091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M6955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "11344491",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C",
            "identifier": "19554",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000223700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "180029065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S",
            "identifier": "000010001691",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

Verify at the official NPI Registry.