Individual
DR. DAVID A JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOCTOR OF OPTOMETRY
Contact information
Practice address
131 W MARKET ST STE A, OSAGE CITY, KS 66523-1099
(785) 528-4136
(785) 528-3422
Mailing address
PO BOX 258, OSAGE CITY, KS 66523-0258
(785) 528-4136
(785) 528-3422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1171-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003811761
—
KS
Enumeration date
06/17/2005
Last updated
02/23/2023
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