Organization
ROGER I JONES, O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER I JONES O.D. (OWNER)
(270) 686-1937
Entity
Organization
Contact information
Practice address
411 PARK PLAZA DR, OWENSBORO, KY 42301-5449
(270) 686-1937
(270) 686-0000
Mailing address
411 PARK PLAZA DR, OWENSBORO, KY 42301-5449
(270) 686-1937
(270) 686-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
953DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77009538
—
KY
Enumeration date
01/29/2009
Last updated
01/14/2010
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