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Individual

DR. LEWIS F JONES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
101 N MAPLE ST, BRIGHTON, IL 62012-1053
(618) 372-7000
(618) 372-7003
Mailing address
101 N MAPLE ST, BRIGHTON, IL 62012-1053
(618) 372-7000
(618) 372-7003

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009304
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05932004
BCBS OF IL
IL
01
135042
GHP
IN
01
2200674
UHC
IL
01
560780
HEALTHLINK
IL
01
5676200
AETNA
IN
01
IL9304
EYE MED
IN
01
U61183
MERCY
IL
Enumeration date
03/31/2006
Last updated
07/08/2007
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