Jones, Brian William

Jones, Brian William is an individual health care provider with primary practice located at 17560 Us Hwy 441 , Mount Dora FL 32757-6711. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jones, Brian William can be contacted via phone (352) 735-2020.

Contact Information

Primary practice address
17560 Us Hwy 441 Mount Dora FL 32757-6711
Phone: (352) 735-2020
Fax: (352) 735-3233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC02937 Florida

Profile Details

NPI number 1578553376
LBN Legal business name Jones, Brian William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 26th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578553376 NPPES
Florida MEDICAID 620180600

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