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NPI Code Detail

MEDICARE: DR. TRINA DEA JONES O.D.

MEDICARE:  DR. TRINA DEA JONES  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1084OK

General Provider Information

NPI Number : 1568545606
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRINA DEA JONES O.D.
Provider Business Mailing Address
First Line : 7519 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3203
Country : US
Telephone Number : 405-840-9995
Fax Number : 405-840-2806
Provider Business Practice Location Address
First Line : 7519 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73116-3203
Country : US
Telephone Number : 405-840-9995
Fax Number : 405-840-2806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 03/06/2014

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Directions to “ DR. TRINA DEA JONES O.D.” Practice Location

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