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Organization

RICHARD D JONES ODPC

Active
Other names
Family Vision Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD D JONES OD (OWNER PRESIDENT)
(307) 587-2404
Entity
Organization

Contact information

Practice address
1708 STAMPEDE AVE, CODY, WY 82414-4829
(307) 587-2404
(307) 527-7368
Mailing address
PO BOX 1300, CODY, WY 82414-1300
(307) 587-2404
(307) 527-7368

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
140T
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013959800
WY
01
0738340002
DEMERC
01
305326
BCBS
01
759870709
RAIROAD MEDICARE
Enumeration date
11/07/2005
Last updated
06/28/2012
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