Provider Demographics
NPI:1609454891
Name:JONES, T. LEE (OD)
Entity type:Individual
Prefix:DR
First Name:T.
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 22009
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97269-2009
Mailing Address - Country:US
Mailing Address - Phone:503-558-7372
Mailing Address - Fax:503-344-5140
Practice Address - Street 1:29250 SW TOWN CENTER LOOP W
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-9477
Practice Address - Country:US
Practice Address - Phone:503-582-0000
Practice Address - Fax:503-582-9000
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORATI4662152WC0802X, 152WL0500X, 152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation