Gary D Jacobsen is a Optometrist in Chandler, Arizona. Gary D Jacobsen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Gary D Jacobsen is 1891786513. The last update date is 2014-02-08.
Gary D Jacobsen's current location address is 3111 W Chandler Blvd, Chandler, Arizona. You can contact this provider via phone number 4807267009. The mailing address for Gary D Jacobsen is 3111 W Chandler Blvd, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary D Jacobsen |
|---|---|
| Address | 3111 W Chandler Blvd, Chandler, Arizona |
| Phone Number | 4807267009 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1891786513 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2014-02-08 |
Provider Mailing Address Detail
| Address | 3111 W Chandler Blvd |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852265071 |
| Phone Number | 4807267009 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 453 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480350 | MT | -- | |
| 11003936 | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary D Jacobsen by the Centers for Medicare & Medicaid Services?
The Gary D Jacobsen has been assigned the NPI (National Provider Identifier) 1891786513 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Gary D Jacobsen is geographically located?
The Gary D Jacobsen is physically situated at the following location: 3111 W Chandler Blvd, Chandler, AZ, 852265071.
What is Gary D Jacobsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary D Jacobsen's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Gary D Jacobsen receive its 1891786513 assignment from the Centers for Medicare & Medicaid Services?
The Gary D Jacobsen was assigned its 1891786513 by the Centers for Medicare & Medicaid Services on 2005-11-02.
As of what date was the information regarding Gary D Jacobsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary D Jacobsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-08.