NPI 1356780670

Jacob Anthony Michael, OD

Practitioner Optometrist Newport, KY

Practice location

Address: 142 Pavilion Pkwy, Newport, KY 41071-2884
Phone: (859) 291-9464
Fax: (859) 291-3222
Mailing address: 1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2007DT (KY)

Other Optometrist providers in Kentucky →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 6219 (OH)

Registry record

NPI: 1356780670
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2013
Record last updated: 21 Mar 2022

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.