Jones, Keith A.

Jones, Keith A. is an individual health care provider with primary practice located at 122 S 4Th St , Hartsville SC 29550-4220. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jones, Keith A. can be contacted via phone (843) 332-8323.

Contact Information

Primary practice address
122 S 4Th St Hartsville SC 29550-4220
Phone: (843) 332-8323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1243 South Carolina

Profile Details

NPI number 1942258900
LBN Legal business name Jones, Keith A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 30th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942258900 NPPES
South Carolina MEDICAID D12430

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