Provider Demographics
NPI:1023360211
Name:JONES, KARI M (OD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 AURORA AVE N APT 405
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3048
Mailing Address - Country:US
Mailing Address - Phone:617-775-7514
Mailing Address - Fax:
Practice Address - Street 1:9800 LEVIN RD NW
Practice Address - Street 2:SUITE 208
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7849
Practice Address - Country:US
Practice Address - Phone:360-698-0600
Practice Address - Fax:360-613-0222
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1868152W00000X
WA60360394152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist