Provider Demographics
NPI:1194761387
Name:JONES, CYNTHIA O (OD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:O
Last Name:JONES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 N THOMPSON LN
Mailing Address - Street 2:SUITE J
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4342
Mailing Address - Country:US
Mailing Address - Phone:615-217-2500
Mailing Address - Fax:615-217-2144
Practice Address - Street 1:836 N THOMPSON LN
Practice Address - Street 2:SUITE J
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4342
Practice Address - Country:US
Practice Address - Phone:615-217-2500
Practice Address - Fax:615-217-2144
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNODT1258152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2240492OtherUNITED HEALTHCARE
4120980001OtherSUPPLIER #
TN3165399OtherBLUE CROSS BLUE SHIELD
U09815Medicare UPIN
TN3165399OtherBLUE CROSS BLUE SHIELD
TN4120980001Medicare NSC