Provider Demographics
NPI:1841340825
Name:JONES, REBECCA ANN (OD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:OD
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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:770-455-7172
Practice Address - Street 1:195 HIGHWAY 304
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-5534
Practice Address - Country:US
Practice Address - Phone:205-668-7920
Practice Address - Fax:205-668-0045
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2024-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAOPT001722152W00000X, 152WC0802X, 152WL0500X, 152WP0200X, 152WX0102X
ALS-607-TA-148152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
T87421Medicare UPIN