Provider Demographics
NPI:1225443989
Name:JONES, CAMERON (OD)
Entity Type:Individual
Prefix:
First Name:CAMERON
Middle Name:
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 1:2940 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-5105
Mailing Address - Country:US
Mailing Address - Phone:941-921-2020
Mailing Address - Fax:941-922-1333
Practice Address - Street 1:2940 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-5105
Practice Address - Country:US
Practice Address - Phone:941-921-2020
Practice Address - Fax:941-922-1333
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002939152W00000X
VA0618002456152W00000X
MDTA2481152W00000X
DCOP1000381152W00000X
FLOPC6189152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist