Individual provider Active NPI

Jeffrey A Jones, OD LLC

  • Optometrist
  • Bend, OR
National Provider Identifier
1912107608
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2333T Issued in OR
Practice address
2500 NE Highway 20
Bend, OR 97701-6277
Phone
(541) 693-9714
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2333T OR Primary

Addresses

Primary practice location

2500 NE Highway 20
Bend, OR 97701-6277

Mailing address

2500 NE Highway 20
Bend, OR 97701
Phone (541) 693-9714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 26, 2019 through Nov 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2333ORMDClinical Psychologist
2333TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Jones, O.D. LLC Optometrist PastSince Jan 1, 1991 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1912107608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NE HIGHWAY 20",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-693-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE HIGHWAY 20",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016277",
            "telephone_number": "541-693-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "OD LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2333T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.