Organization
W A JONES OPTICAL CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WIDMAR (PRESIDENT)
(440) 887-9267
Entity
Organization
Contact information
Practice address
4715 GREAT NORTHERN BLVD, NORTH OLMSTED, OH 44070-3428
(440) 887-9267
Mailing address
4715 GREAT NORTHERN BLVD, NORTH OLMSTED, OH 44070-3428
(440) 887-9267
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141492
EYEMED
OH
01
—
141667
EYEMED
OH
01
—
141684
EYE MED
OH
01
—
141743
EYE MED
OH
01
—
141951
EYE MED
OH
05
—
4470380
—
OH
Enumeration date
02/06/2007
Last updated
08/22/2020
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