Provider Demographics
NPI:1861770075
Name:JONES, DARREN (OD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20921 E SMOKY HILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5120
Mailing Address - Country:US
Mailing Address - Phone:720-505-6411
Mailing Address - Fax:
Practice Address - Street 1:20921 E SMOKY HILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5120
Practice Address - Country:US
Practice Address - Phone:303-942-1370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2865152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO275491OtherMEDICARE PTAN
CO275491OtherMEDICARE PTAN