NPI 1295829752

Gregory Donald Jones, OD

Practitioner Optometrist Forest Lake, MN

Practice location

Address: Walmart Vision Ctr #2274 200 Ksw 12th St, Forest Lake, MN 55025-1609
Phone: (651) 464-9767
Mailing address: 255 South Shore Dr, Forest Lake, MN 55025-1609

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1908 (MN)

Other Optometrist providers in Minnesota →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1876 (WI)

Registry record

NPI: 1295829752
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.