NPI 1003811761

David a Jacoby, DOCTOROFOPTOMETRY

Practitioner Optometrist Osage City, KS

Practice location

Address: 131 W Market St STE a, Osage City, KS 66523-1099
Phone: (785) 528-4136
Fax: (785) 528-3422
Mailing address: PO Box 258, Osage City, KS 66523-0258

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1171-3 (KS)

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Registry record

NPI: 1003811761
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2005
Record last updated: 23 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.