Individual
JACOB PAUL KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2424 CENTURY PL SE, HICKORY, NC 28602-4031
(828) 322-2050
(828) 345-0522
Mailing address
PO BOX 3445, HICKORY, NC 28603-3445
(828) 322-2050
(828) 345-0522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2880
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2880
LICENSE
NC
Enumeration date
09/08/2025
Last updated
09/24/2025
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