Organization
JOHN A JONES O.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A JONES O.D. (PRESIDENT)
(606) 666-2849
Entity
Organization
Contact information
Practice address
30 HOWELL LANE, JACKSON, KY 41339-8657
(606) 666-2849
(606) 666-2857
Mailing address
P.O. BOX 889, JACKSON, KY 41339-0889
(606) 666-2849
(606) 666-2857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
904DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77009041
—
KY
Enumeration date
11/11/2008
Last updated
11/11/2008
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