NPI 1760467484

Bruce Robert Jacobson, MD

Practitioner Ophthalmology Physician Willoughby, OH

Practice location

Address: 36100 Euclid Ave Suite 450, Willoughby, OH 44094-4456
Phone: (440) 946-9555
Fax: (440) 946-2223
Mailing address: 2561 Lander Rd, Pepper Pike, OH 44124-4317

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 35048289 (OH)

Other Ophthalmology providers in Ohio →

Registry record

NPI: 1760467484
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2005
Record last updated: 27 Feb 2014

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.