Individual
KIRAN B JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
419 MOOSEHEAD TRL, NEWPORT, ME 04953-4054
(207) 355-3333
(207) 368-2002
Mailing address
419 MOOSEHEAD TRL, NEWPORT, ME 04953-4001
(207) 355-3333
(207) 368-2002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT872
ME
152WC0802X
Corneal and Contact Management Optometrist
OPT872
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048925
STAR ID
ME
01
—
1090025
AETNA
ME
05
—
408610099
—
ME
05
—
431998600
—
ME
05
—
431998601
—
ME
01
—
7339571
AETNA PPO
ME
Enumeration date
05/20/2006
Last updated
02/24/2025
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