Individual
DR. JACOB NACHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
26 BROADWAY, SUITE 908, NEW YORK, NY 10004-1703
(212) 425-2115
(212) 425-2636
Mailing address
26 BROADWAY, SUITE 908, NEW YORK, NY 10004-1703
(212) 425-2115
(212) 425-2636
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2012
CT
152W00000X
Optometrist
27OA00452600
NJ
152W00000X
Optometrist
OPT3130
MA
152W00000X
Optometrist
Primary
TUV004314-01
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV004314-01
NY
152WX0102X
Occupational Vision Optometrist
TUV004314-01
NY
Other
Enumeration date
11/03/2006
Last updated
02/17/2023
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