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General NPI Number Information
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NPI Number | 1720004153
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Entity Type | Organization
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Legal Business Name | JONES VISION CENTER
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1515 LAKE LANSING RD SUITE G
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City | LANSING
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State | MI
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Zip | 48912-3753
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Country | US
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Telephone | 517-332-2233
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Fax | 517-332-8035
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Provider Business Mailing Address
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Address Line | 1515 LAKE LANSING RD SUITE G
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City | LANSING
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State | MI
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Zip | 48912-3753
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Country | US
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Telephone | 517-332-2233
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Fax | 517-332-8035
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMONA H. JONES
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Credential | OPTOMETRIST
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Telephone | 517-332-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003667
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003668
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License Number State | MI
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