Individual
DR. JERRY RAYMOND JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
13909 MERIDIAN E, A4, PUYALLUP, WA 98373-9180
(253) 841-1575
(253) 840-5543
Mailing address
PO BOX 23896, FEDERAL WAY, WA 98093-0896
(253) 841-1575
(253) 840-5543
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1004TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2050102
—
WA
Enumeration date
09/08/2005
Last updated
06/10/2008
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