Provider Demographics
NPI:1356349351
Name:JONES, JASON HERRON (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:HERRON
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:427 S BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2509
Mailing Address - Country:US
Mailing Address - Phone:509-456-0107
Mailing Address - Fax:509-747-2635
Practice Address - Street 1:427 S BERNARD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2509
Practice Address - Country:US
Practice Address - Phone:509-456-0107
Practice Address - Fax:509-747-2635
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038347207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010029421OtherASURIS(REGENCE BS OF ID)
IDKM596OtherBLUE CROSS OF ID
WA180039435OtherRAILROAD MEDICARE
WA8251464Medicaid
WA1730187899OtherSPOKANE EYE CLINIC, PS
ID805742600OtherPUBLIC ASSISTANCE
WAA005OtherTRICARE
WA130874OtherLABOR AND INDUSTRIES
WAWA0690OtherNORTHWEST BENEFIT NETWORK
WA1831165331OtherSPOKANE EYE SURGERY CENTER
WA19433OtherGROUP HEALTH
WA9300JOOtherASURIS(REGENCE NW HEALTH)
WAWA0690OtherNORTHWEST BENEFIT NETWORK
WAG97981Medicare UPIN
WAAB15037Medicare ID - Type Unspecified