Provider Demographics
NPI:1760511497
Name:JONES BROTHERS OPTICAL INC.
Entity Type:Organization
Organization Name:JONES BROTHERS OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-327-1800
Mailing Address - Street 1:3890 OLD WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1855
Mailing Address - Country:US
Mailing Address - Phone:724-327-1800
Mailing Address - Fax:724-327-3337
Practice Address - Street 1:3890 OLD WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1855
Practice Address - Country:US
Practice Address - Phone:724-327-1800
Practice Address - Fax:724-327-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAJO289329OtherHIGHMARK ID
PA1193330001Medicare ID - Type Unspecified