Basic Information
| Provider Information | |||||||||
| NPI: | 1972780385 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JONES EYECARE, PLLC | ||||||||
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| OtherOrganizationName: | DR BRENT JONES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2075 EXETER RD | ||||||||
| Address2: | SUITE 70 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381383962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017542020 | ||||||||
| FaxNumber: | 9017569537 | ||||||||
| Practice Location | |||||||||
| Address1: | 2075 EXETER RD | ||||||||
| Address2: | SUITE 70 | ||||||||
| City: | GERMANTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 381383962 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9017542020 | ||||||||
| FaxNumber: | 9017569537 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/28/2008 | ||||||||
| LastUpdateDate: | 05/28/2008 | ||||||||
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| AuthorizedOfficialLastName: | JONES | ||||||||
| AuthorizedOfficialFirstName: | BRENT | ||||||||
| AuthorizedOfficialMiddleName: | W | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9017542020 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | O.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 2372 | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.