Provider Demographics
NPI:1568522274
Name:ALAN M JONES OD PA
Entity Type:Organization
Organization Name:ALAN M JONES OD PA
Other - Org Name:VISION REHABILITATION OF FLORIDA INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:954-427-1449
Mailing Address - Street 1:4851 W HILLSBORO BLVD
Mailing Address - Street 2:A-6
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4355
Mailing Address - Country:US
Mailing Address - Phone:954-427-1449
Mailing Address - Fax:954-427-1458
Practice Address - Street 1:4851 W HILLSBORO BLVD
Practice Address - Street 2:A-6
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4355
Practice Address - Country:US
Practice Address - Phone:954-427-1449
Practice Address - Fax:954-427-1458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1843152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078544000Medicaid
FLT95432Medicare UPIN
FL19491Medicare ID - Type Unspecified