Provider Demographics
NPI:1073563375
Name:SPECTACLES ETC./WALTER W. JONES, M.D.
Entity type:Organization
Organization Name:SPECTACLES ETC./WALTER W. JONES, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:WILLILAM
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-633-1921
Mailing Address - Street 1:90 N 4TH ST
Mailing Address - Street 2:SUITE 23
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1648
Mailing Address - Country:US
Mailing Address - Phone:740-633-1921
Mailing Address - Fax:740-633-2334
Practice Address - Street 1:90 N 4TH ST
Practice Address - Street 2:SUITE 23
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1648
Practice Address - Country:US
Practice Address - Phone:740-633-1921
Practice Address - Fax:740-633-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35046773332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier