David A Jacoby Od Chartered

NPI 1043386287 - Eyewear Supplier (Equipment, not the service) - 332H00000X

NPI Details
NPI 1043386287
Enumeration Date 11/28/2006
Last Updated 02/23/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID A DAVID
Position PRESIDENT
Phone (785) 528-4136
Fax (785) 528-3422
Practice Location
613 MARKET ST
OSAGE CITY KS, 66523-1282, US
Phone (785) 528-4136
Fax (785) 528-3422
Business Location
P. O. BOX 258
OSAGE CITY KS, 66523-0258, US
Phone (785) 528-4136
Fax (785) 528-3422
Toxanomy
Taxonomy Code 332H00000X
License State Kansas
License Number 1171-3
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According to our database, David A Jacoby Od Chartered NPI is 1043386287, taxonomy code is 332H00000X and license number is 1171-3, license state is located at Kansas. David A Jacoby Od Chartered physically located at 613 Market St, Osage City KS, 66523-1282. NPI Number 1033115704 has the healthcare provider type.

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1043386287 NPI number is provided on an as is basis without warranty of any kind. 1043386287 is maintained by the National Plan & Provider Enumeration System. The contents of David A Jacoby Od Chartered are for informational purposes only.