Individual
MR. ROBERT RANDALL JONES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1951 BENCH RD, #C, POCATELLO, ID 83201
(208) 238-3377
(208) 238-8091
Mailing address
1951 BENCH RD, #C, POCATELLO, ID 83201
(208) 238-3377
(208) 238-8091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
M6955
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001691
B/S
ID
05
—
000223700
—
ID
01
—
11344491
MEDICARE PTAN
ID
01
—
180029065
R/R MEDICARE
—
01
—
19554
B/C
ID
Enumeration date
08/26/2006
Last updated
06/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us