David A Jacoby DOCTOR OF OPTOMETRY

NPI 1003811761 - Optometrist - 152W00000X

NPI Details
NPI 1003811761
Gender Male
Enumeration Date 06/17/2005
Last Updated 07/21/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
613 MARKET STREET
OSAGE CITY KS, 66523-1282, US
Phone (785) 528-4136
Fax (785) 528-3422
Business Location
PO BOX 258
OSAGE CITY KS, 66523-0258, US
Phone (785) 528-4136
Fax (785) 528-3422
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number 1171-3
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According to our database, Dr. David A Jacoby DOCTOR OF OPTOMETRY NPI is 1003811761, taxonomy code is 152W00000X and license number is 1171-3, license state is located at Kansas. David A Jacoby DOCTOR OF OPTOMETRY physically located at 613 Market Street, Osage City KS, 66523-1282. NPI Number David A Jacoby DOCTOR OF OPTOMETRY has the Individual type.

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1003811761 NPI number is provided on an as is basis without warranty of any kind. 1003811761 is maintained by the National Plan & Provider Enumeration System. The contents of David A Jacoby DOCTOR OF OPTOMETRY are for informational purposes only.