Mark A Jacobs O.D.

NPI 1124023809 - Optometrist - 152W00000X

NPI Details
NPI 1124023809
Gender Male
Enumeration Date 06/17/2005
Last Updated 10/10/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
3810 S HIGHWAY 27
SOMERSET KY, 42501-3073, US
Phone (606) 678-4551
Fax (606) 678-0972
Business Location
ALBANY KY, 42602-1090, US
Phone (606) 387-5612
Fax (606) 387-6602
Taxonomy Code 152W00000X
License State Kentucky
License Number 1201DT
Remove 1124023809 NPI Number

According to our database, Dr. Mark A Jacobs O.D. NPI is 1124023809, taxonomy code is 152W00000X and license number is 1201DT, license state is located at Kentucky. Mark A Jacobs O.D. physically located at 3810 S Highway 27, Somerset KY, 42501-3073. NPI Number Mark A Jacobs O.D. has the Individual type.

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1124023809 NPI number is provided on an as is basis without warranty of any kind. 1124023809 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A Jacobs O.D. are for informational purposes only.