David A Jacoby Od Chartered in Osage City - Eyewear Supplier
David A Jacoby Od Chartered - NPI 1043386287
David A Jacoby Od Chartered is a Eyewear Supplier in Osage City, Kansas. David A Jacoby Od Chartered practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for David A Jacoby Od Chartered is 1043386287. The last update date is 2023-02-23.
David A Jacoby Od Chartered's current location address is P. O. Box 258, Osage City, Kansas. You can contact this provider via phone number 7855284136 and fax number 7855283422. The mailing address for David A Jacoby Od Chartered is P. O. Box 258, Osage City, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David A Jacoby Od Chartered |
|---|---|
| Address | P. O. Box 258, Osage City, Kansas |
| Phone Number | 7855284136 |
| Fax Number | 7855283422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jacoby A David |
| Credentials | OPTOMETRIS |
| Telephone Number | 7855284136 |
NPI Number Detail
| NPI Number | 1043386287 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2023-02-23 |
Provider Mailing Address Detail
| Address | P. O. Box 258 |
|---|---|
| City | Osage City |
| State | Kansas (KS) |
| Post Code | 665230258 |
| Phone Number | 7855284136 |
| Fax Number | 7855283422 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 1171-3 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30004700180001 | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David A Jacoby Od Chartered by the Centers for Medicare & Medicaid Services?
The David A Jacoby Od Chartered has been assigned the NPI (National Provider Identifier) 1043386287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the David A Jacoby Od Chartered's physical address?
The David A Jacoby Od Chartered is physically located at P. O. Box 258, in the city of Osage City, KS, with the postal code 665230258.
What is the David A Jacoby Od Chartered's specialty and taxonomy code?
The David A Jacoby Od Chartered's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date was the 1043386287 assigned to David A Jacoby Od Chartered?
The David A Jacoby Od Chartered was issued its 1043386287 on 2006-11-28, 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 David A Jacoby Od Chartered, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David A Jacoby Od Chartered, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-23.
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