Bruce Robert Jacobson in Willoughby - Ophthalmology
Bruce Robert Jacobson - NPI 1760467484
Bruce Robert Jacobson is a Ophthalmology in Willoughby, Ohio. Bruce Robert Jacobson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Bruce Robert Jacobson is 1760467484. The last update date is 2014-02-27.
Bruce Robert Jacobson's current location address is 36100 Euclid Ave, Willoughby, Ohio. You can contact this provider via phone number 4409469555 and fax number 4409462223. The mailing address for Bruce Robert Jacobson is 36100 Euclid Ave, Willoughby, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Robert Jacobson |
|---|---|
| Address | 36100 Euclid Ave, Willoughby, Ohio |
| Phone Number | 4409469555 |
| Fax Number | 4409462223 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760467484 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2014-02-27 |
Provider Mailing Address Detail
| Address | 36100 Euclid Ave |
|---|---|
| City | Willoughby |
| State | Ohio (OH) |
| Post Code | 440944456 |
| Phone Number | 4409469555 |
| Fax Number | 4409462223 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 35048289 |
|
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 602351 | OH | -- |
Post Comment/ Review Below
What is the Bruce Robert Jacobson's 1760467484?
The Bruce Robert Jacobson's NPI (National Provider Identifier) Number is 1760467484. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bruce Robert Jacobson is located?
The Bruce Robert Jacobson is situated at the following address: 36100 Euclid Ave, Willoughby, OH, 440944456.
What is Bruce Robert Jacobson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Robert Jacobson's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760467484 to Bruce Robert Jacobson?
The Bruce Robert Jacobson received its 1760467484 assignment from the Centers for Medicare & Medicaid Services on 2005-12-15.
As of what date was the information regarding Bruce Robert Jacobson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Robert Jacobson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-02-27.