Healthcare Provider Details

I. General information

NPI: 1093945354
Provider Name (Legal Business Name): SUZANNE MARIE JONES O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS SUZANNE MARIE MCCATTY

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 02/22/2021
Certification Date: 02/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6909 N LOOP 1604 E
SAN ANTONIO TX
78247-5317
US

IV. Provider business mailing address

6909 N LOOP 1604 E
SAN ANTONIO TX
78247-5317
US

V. Phone/Fax

Practice location:
  • Phone: 210-651-0985
  • Fax: 210-858-6664
Mailing address:
  • Phone: 210-651-0985
  • Fax: 210-858-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7055T
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: