Jones, Jerry Raymond
Jones, Jerry Raymond is an individual health care provider with primary practice located at 13909 Meridian E A4, Puyallup WA 98373-9180. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jones, Jerry Raymond can be contacted via phone (253) 841-1575.Contact Information
Primary practice address
13909 Meridian E A4
Puyallup WA 98373-9180
Phone: (253) 841-1575
Fax: (253) 840-5543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1004TX | Washington |
Profile Details
| NPI number | 1467446211 |
|---|---|
| LBN Legal business name | Jones, Jerry Raymond |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jun 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467446211 | NPPES |
| Washington | MEDICAID | 2050102 |
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