Provider Demographics
NPI:1083917694
Name:JONES, ERIKA MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ERIKA
Other - Middle Name:MARIE
Other - Last Name:PERZAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 7067
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76714
Mailing Address - Country:US
Mailing Address - Phone:254-733-0436
Mailing Address - Fax:
Practice Address - Street 1:4800 MEMORIAL DRIVE
Practice Address - Street 2:BUILDING 91/EYE CLINIC
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76711
Practice Address - Country:US
Practice Address - Phone:254-297-3000
Practice Address - Fax:254-297-3710
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7695TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist