Provider Demographics
NPI:1255112397
Name:JONES, EMILY KAY (OD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KAY
Last Name:JONES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1248 WATERBURY RD
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4658
Practice Address - Country:US
Practice Address - Phone:802-253-6322
Practice Address - Fax:802-253-0842
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV3032-IOD152W00000X
VT030.0133999PROV152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist