Richard Y Jacobson O.D.

NPI 1053399691 - Optometrist - 152W00000X

NPI Details
NPI 1053399691
Gender Male
Enumeration Date 01/04/2006
Last Updated 02/25/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1428 2ND AVE N
MEDICAL ARTS BLDG
FORT DODGE IA, 50501-4119, US
Phone (515) 573-1145
Fax (515) 573-1028
Business Location
1428 2ND AVE N
MEDICAL ARTS BLDG
FORT DODGE IA, 50501-4119, US
Phone (515) 573-1145
Fax (515) 573-1028
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 1536
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According to our database, Dr. Richard Y Jacobson O.D. NPI is 1053399691, taxonomy code is 152W00000X and license number is 1536, license state is located at Iowa. Richard Y Jacobson O.D. physically located at 1428 2nd Ave N, Fort Dodge IA, 50501-4119. NPI Number Richard Y Jacobson O.D. has the Individual type.

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1053399691 NPI number is provided on an as is basis without warranty of any kind. 1053399691 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Y Jacobson O.D. are for informational purposes only.