Organization

Jones Oakland Vision Group P A

Optometrist in Oakland, MD(View on Map)

Legal Business Name

Jones Oakland Vision Group P A

NPI Number

1700061173

NPI Type

Organization

Enumeration Date

01/04/2008

Specialties

(Taxonomies)

Code

152W00000X
332H00000X

Primary Taxonomy

Yes
No

Licenses

State

Maryland

License Number

00794

Contact
Information

Purpose

Mailing
Location

Address

888 MEMORIAL DR STE 101
888 MEMORIAL DR STE 101

City

Oakland
Oakland

State

MD
MD

Postal Code

21550-5112
21550-5112

Country

US
US

Telephone Number

(301) 334-1016
(301) 334-1016

Authorized Official

Name

James Jones

Title or Position

PRESIDENT

Telephone Number

(301) 334-1016

Identifiers

Identifier

239019
DT3340
N9320001
3810023841
214828500

Identifier State

MD
MD
MD
WV
MD

Identifier Issuer

OPTIMUM CHOICE
PALMETTO RR MEDICARE PTAN
BCBS PROVIDER #
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/01/2023

Provider Address

Other Optometrist in Oakland, Maryland:

Organization

Ellington Eyecare Pllc

Oakland, MD

Specialty: Optometrist (Primary)