Provider Demographics
NPI:1750471173
Name:MATTHEW A JONES OD PS
Entity Type:Organization
Organization Name:MATTHEW A JONES OD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-484-6550
Mailing Address - Street 1:124 E ROWAN AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1214
Mailing Address - Country:US
Mailing Address - Phone:509-484-6550
Mailing Address - Fax:509-484-0082
Practice Address - Street 1:124 E ROWAN AVE
Practice Address - Street 2:STE 101
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1214
Practice Address - Country:US
Practice Address - Phone:509-484-6550
Practice Address - Fax:509-484-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1597152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2107902Medicaid
WA86252OtherLABOR AND INDUSTRY
T02332Medicare UPIN
WA2107902Medicaid