Provider Demographics
NPI:1083886261
Name:JONES OPTICIANS INC
Entity Type:Organization
Organization Name:JONES OPTICIANS INC
Other - Org Name:OPTICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:941-366-7866
Mailing Address - Street 1:1901 S OSPREY AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3617
Mailing Address - Country:US
Mailing Address - Phone:941-366-7866
Mailing Address - Fax:941-953-5627
Practice Address - Street 1:1901 S OSPREY AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3617
Practice Address - Country:US
Practice Address - Phone:941-366-7866
Practice Address - Fax:941-953-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-28
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D-5165Medicare UPIN
0666350001Medicare NSC