# ALLYN JACOBSON OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allyn Jacobsom OD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376915066
- **Authorized official:** DR. ALLYN HOWARD JACOBSON OD (OPTOMETRIST)
- **Authorized official phone:** (305) 238-2121

## Contact information

- **Practice address:** 9529 SW 160TH ST, MIAMI, FL 33157-3350
- **Practice address phone:** (305) 238-2121
- **Practice address fax:** (305) 238-2123
- **Mailing address:** 9529 SW 160TH ST, MIAMI, FL 33157-3350
- **Mailing address phone:** (305) 238-2121
- **Mailing address fax:** (305) 238-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1033 | FL | Yes |

## Other

- **Enumeration date:** 10/21/2015
- **Last updated:** 10/21/2015