Individual
SANDRA K JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7200 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-8809
(440) 269-7942
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1903
SC
152W00000X
Optometrist
Primary
OPT.006551
OH
152W00000X
Optometrist
OPT002911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D19036
—
SC
Enumeration date
07/20/2011
Last updated
05/12/2021
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