NPI 1124023809
Mark a Jacobs, OD
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
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.