Individual
MR. CODY E JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
34 SE MAIN ST, STE 101, BLACKFOOT, ID 83221-5094
(208) 785-7274
(208) 785-7337
Mailing address
720 N MERIDIAN ST, STE A, BLACKFOOT, ID 83221-4936
(208) 242-7900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
13076 T
CA
152W00000X
Optometrist
Primary
ODP-100178
ID
Other
Enumeration date
10/04/2006
Last updated
06/10/2019
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