Individual
DR. KRISTINE MARIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
700 W IRELAND RD, SOUTH BEND, IN 46614
(574) 299-1471
(574) 299-1477
Mailing address
30866 FIELD STONE DR, GRANGER, IN 46530-9381
(812) 272-5718
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003823
—
IN
05
—
300005932
—
IN
Enumeration date
06/12/2012
Last updated
02/21/2023
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