Provider Demographics
NPI:1720004153
Name:JONES VISION CENTER
Entity Type:Organization
Organization Name:JONES VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMONA
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST
Authorized Official - Phone:517-332-2233
Mailing Address - Street 1:1515 LAKE LANSING RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3753
Mailing Address - Country:US
Mailing Address - Phone:517-332-2233
Mailing Address - Fax:517-332-8035
Practice Address - Street 1:1515 LAKE LANSING RD
Practice Address - Street 2:SUITE G
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3753
Practice Address - Country:US
Practice Address - Phone:517-332-2233
Practice Address - Fax:517-332-8035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003667152W00000X
MI4901003668152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI22-00082OtherDR. RAMONA H. JONES PHPMM
MI22-00059OtherDR. ROBERT A. JONES PHPMM
MI22-70082OtherDR. RAMONA H. JONES PHPFC
MI22-70059OtherDR. ROBERT A. JONES PHPFC
MI900C377040OtherBCBS
MI94-4414365Medicaid
MIU52519Medicare UPIN
OP10740002Medicare PIN
MI22-70059OtherDR. ROBERT A. JONES PHPFC
MIU45820Medicare UPIN
OP10740001Medicare PIN
MI22-00082OtherDR. RAMONA H. JONES PHPMM
MIOP10740002Medicare ID - Type UnspecifiedDR. ROBERT A. JONES
OP10740Medicare PIN