Provider Demographics
NPI:1164478905
Name:JONES, RAYMOND FLOYD (OD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:FLOYD
Last Name:JONES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8025 DOLLARWAY RD
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602-2855
Mailing Address - Country:US
Mailing Address - Phone:870-247-2015
Mailing Address - Fax:870-247-0238
Practice Address - Street 1:8025 DOLLARWAY RD
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602
Practice Address - Country:US
Practice Address - Phone:870-247-2015
Practice Address - Fax:870-247-0238
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2280152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR103027722Medicaid