Organization
EDWARD LAWRENCE JONES & ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAXINE JONES (V.P. ADMINISTRATION)
(206) 941-2000
Entity
Organization
Contact information
Practice address
601 W GOWE ST, KENT, WA 98032-5745
(253) 854-2028
(253) 854-2744
Mailing address
13530 SE 181ST PL, RENTON, WA 98058-6806
(206) 941-2000
(425) 235-0840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2030187
—
WA
01
—
G8880384
MEDICARE PTAN
WA
Enumeration date
03/14/2007
Last updated
12/16/2019
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