Whalio Doctors

NPI 1124023809

Mark a Jacobs, OD

Practitioner Optometrist Somerset, KY

Practice location

Address
3810 S Highway 27 Suite 1, Somerset, KY 42501-3073
Phone
(606) 678-4551
Fax
(606) 678-0972
Mailing address
PO Box 306, Ferguson, KY 42533-0306

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1201DT (KY)

Registry record

NPI
1124023809
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2005
Record last updated
3 Dec 2019

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.