Individual
DR. JORDAN KELLEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
450 N NEW BALLAS RD, DEPT OPHTHALMOLOGY, STE 260, SAINT LOUIS, MO 63141-6859
(314) 362-3937
(866) 505-8818
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-3937
(866) 505-8818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2012018552
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310007526
—
MO
Enumeration date
07/29/2011
Last updated
04/17/2025
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