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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