Provider Demographics
NPI:1407933153
Name:JONES EYECARE ASSOCIATES PC
Entity Type:Organization
Organization Name:JONES EYECARE ASSOCIATES PC
Other - Org Name:JONES EYECARE ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ED
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-634-3535
Mailing Address - Street 1:7500 S SANTA FE AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73139-8004
Mailing Address - Country:US
Mailing Address - Phone:405-634-3535
Mailing Address - Fax:405-634-3535
Practice Address - Street 1:7500 S SANTA FE AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8004
Practice Address - Country:US
Practice Address - Phone:405-634-3535
Practice Address - Fax:405-634-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKGROUP152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1007432404Medicaid
OK=========Medicare PIN