MEDICARE: MATTHEW ALLAN JONES OD

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
1	152W00000X	Optometrist	1597	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DC9602	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	86252	OTHER	WA	LABOR AND INDUSTRY

General Provider Information

NPI Number	:	1679663090
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW ALLAN JONES OD

Provider Business Mailing Address
First Line	:	124 E ROWAN AVE
Second Line	:	STE 101
City	:	SPOKANE
State	:	WA
Zip	:	99207-1214
Country	:	US
Telephone Number	:	509-484-6550
Fax Number	:	509-484-0082

Provider Business Practice Location Address
First Line	:	124 E ROWAN AVE
Second Line	:	STE 101
City	:	SPOKANE
State	:	WA
Zip	:	99207-1214
Country	:	US
Telephone Number	:	509-484-6550
Fax Number	:	509-484-0082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2006
Last Update Date	:	10/11/2007

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Directions to “ MATTHEW ALLAN JONES OD” Practice Location

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