Mark Edwin Jacobson in Santa Rosa - Ophthalmology
Mark Edwin Jacobson - NPI 1770509002
Mark Edwin Jacobson is a Ophthalmology in Santa Rosa, California. Mark Edwin Jacobson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Mark Edwin Jacobson is 1770509002. The last update date is 2021-12-22.
Mark Edwin Jacobson's current location address is 1260 N Dutton Ave Ste 160, Santa Rosa, California. You can contact this provider via phone number 7075242442 and fax number 7075242438. The mailing address for Mark Edwin Jacobson is 1260 N Dutton Ave Ste 160, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Edwin Jacobson |
|---|---|
| Address | 1260 N Dutton Ave Ste 160, Santa Rosa, California |
| Phone Number | 7075242442 |
| Fax Number | 7075242438 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770509002 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 1260 N Dutton Ave Ste 160 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954017139 |
| Phone Number | 7075242442 |
| Fax Number | 7075242438 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | A436310 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00S436310 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Edwin Jacobson by the Centers for Medicare & Medicaid Services?
The Mark Edwin Jacobson has been assigned the NPI (National Provider Identifier) 1770509002 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 location address where Mark Edwin Jacobson's facilities are situated?
The facilities of Mark Edwin Jacobson are physically located at the following address: 1260 N Dutton Ave Ste 160, Santa Rosa, CA, 954017139.
What is Mark Edwin Jacobson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Edwin Jacobson is Ophthalmology, and the corresponding taxonomy classification code for this specialized field is 207W00000X.
On what date was the 1770509002 assigned to Mark Edwin Jacobson?
The Mark Edwin Jacobson was issued its 1770509002 on 2006-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark Edwin Jacobson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Edwin Jacobson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-22.