Provider Demographics
NPI:1275521726
Name:JONES, DEBORAH SUSAN (OD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:SUSAN
Last Name:JONES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:CAPALBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3584
Mailing Address - Country:US
Mailing Address - Phone:512-332-0034
Mailing Address - Fax:
Practice Address - Street 1:1412 W STATE HIGHWAY 71
Practice Address - Street 2:SUITE 109
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3485
Practice Address - Country:US
Practice Address - Phone:512-303-5959
Practice Address - Fax:512-332-2332
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5230TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5230TGOtherSTATE BOARD OF EXAMINERS