Active NPI
Robert Randall Jones Jr., MD
- Ophthalmology Physician
- Chubbuck, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- M6955
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11344491 | Other | ID | MEDICARE PTAN |
| 19554 | Other | ID | B/C |
| 000223700 | Medicaid | ID | |
| 180029065 | Other | R/R MEDICARE | |
| 000010001691 | Other | ID | B/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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6955 | ID | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles P. Lawless, M.D., P.a. | Ophthalmology | Current | Accepting new patients |
| Premier Eye Care of Eastern Idaho | Ophthalmology | Current | Accepting new patients |
| Country Hills Eye Center | Ophthalmology | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Ophthalmology Physician
- Idaho Falls, ID
- NPI 1790052603
-
dba Walt's Optical Shop
- Specialist
- Pocatello, ID
- NPI 1629280359
Ophthalmology
-
dba True Vision Physicians and Surgeons
- Specialist
- South Ogden, UT
- NPI 1447460464
Ophthalmology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.