Individual
DR. MARK S JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Mailing address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP 2281
FL
152WC0802X
Corneal and Contact Management Optometrist
OP 2281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084167600
—
FL
01
—
19054
BLUE CROSS & BLUE SHIELD
FL
01
—
410042389
RR MEDICARE
FL
Enumeration date
07/12/2006
Last updated
10/09/2008
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