NPI 1194731232

Steven Vergil Jacobsen, OD

Practitioner Optometrist Fremont, NE

Practice location

Address: 1445 N Bell St, Fremont, NE 68025-3534
Phone: (402) 727-9220
Fax: (402) 727-5625
Mailing address: PO Box 72, Fremont, NE 68026-0072

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 780 (NE)

Other Optometrist providers in Nebraska →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 01542 (IA)

Registry record

NPI: 1194731232
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 19 Apr 2012

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.