Provider Demographics
NPI:1790718955
Name:DANIEL H. JONES, O.D., P.C.
Entity Type:Organization
Organization Name:DANIEL H. JONES, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:816-813-6815
Mailing Address - Street 1:306 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LAWSON
Mailing Address - State:MO
Mailing Address - Zip Code:64062-9347
Mailing Address - Country:US
Mailing Address - Phone:660-707-1948
Mailing Address - Fax:660-707-1969
Practice Address - Street 1:1000 GRAVES ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:MO
Practice Address - Zip Code:64601-3071
Practice Address - Country:US
Practice Address - Phone:660-707-1948
Practice Address - Fax:660-707-1969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2812152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO15291059OtherBCBSKC PROVIDER NUMBER
MO50651OtherDAVIS VISION PROVIDER #
MO540135OtherNVA PROVIDER NUMBER
MO34753OtherAVESIS PROVIDER NUMBER
MO25309OtherSPECTERA PROVIDER NUMBER
MO926700OtherBLOCK PROVIDER NUMBER
MO34753OtherAVESIS PROVIDER NUMBER
MO540135OtherNVA PROVIDER NUMBER
MOT95780Medicare UPIN