| Sandra K Jones, OD | |
|
7200 Mentor Ave, Mentor, OH 44060-7522 | |
| (440) 946-8809 | |
| (440) 269-7942 |
| Full Name | Sandra K Jones |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 15 Years |
| Location | 7200 Mentor Ave, Mentor, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003104365 | NPI | - | NPPES |
| D19036 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002911 (Georgia) | Secondary |
| 152W00000X | Optometrist | 1903 (South Carolina) | Secondary |
| 152W00000X | Optometrist | OPT.006551 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aeg Ohio Professional Pc | 7618207036 | 74 |
| Provider Name | Aeg Ohio Professional Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154980811 PECOS PAC ID: 7618207036 Enrollment ID: O20190927002244 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra K Jones, OD 211 E Broadway, Alton, IL 62002-6220 Ph: (618) 462-9818 | Sandra K Jones, OD 7200 Mentor Ave, Mentor, OH 44060-7522 Ph: (440) 946-8809 |
Dr. Robert M Cherne, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9000 Mentor Ave Ste 102, Mentor, OH 44060 Phone: 216-383-0100 Fax: 216-383-6481 | |
Dr. Donald James Hendley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9303 Mentor Avenue, Mentor, OH 44060 Phone: 440-974-3303 | |
Dr. Jocelyn Rose Pettitt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7200 Mentor Ave, Mentor, OH 44060 Phone: 440-946-8809 Fax: 440-269-7942 | |
Great Lakes Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7348 Mentor Ave, Mentor, OH 44060 Phone: 440-953-2020 Fax: 440-953-2030 | |
Prof. Robert Waldman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8900 Mentor Ave, Suite B, Mentor, OH 44060 Phone: 440-255-7727 | |
Dr. Kenneth Andrew Boyle Sr., OD Optometrist Medicare: Medicare Enrolled Practice Location: 7875 Johnny Cake Ridge Rd, Great Lakes Mall, Mentor, OH 44060 Phone: 440-255-2176 Fax: 440-255-1094 |