Individual
DR. CARL H. JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 MINOR HALL, UC BERKELEY, BERKELEY, CA 94720-2020
(510) 643-9826
(510) 642-4025
Mailing address
200 MINOR HALL, UC BERKELEY, BERKELEY, CA 94720-2020
(510) 643-9826
(510) 642-4025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10030TLG
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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