Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TO2812 | MO |
NPI | 1003823337 |
---|---|
Provider Name | Dr. Daniel H Jones |
First Address | Lawson, MO 64062-9347 |
Second Address | Chillicothe, MO 64601-3071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15291059 | BCBSKC (01) | |
25309 | SPECTERA (01) | |
34753 | AVESIS (01) | |
50651 | DAVIS (01) | |
540135 | NVA (01) | |
926700 | BLOCK VISION (01) | |
T95780 | (02) |