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Organization

JACOBS EYE CENTER, LTD.

Active
Other names
Anne Jacobs MD LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE ANNE JACOBS M.D. (OWNER/PRESIDENT)
(216) 272-2663
Entity
Organization

Contact information

Practice address
37500 HARVEST AVE, AVON, OH 44011-2804
(440) 934-2750
Mailing address
5883 HICKORY TRL, N RIDGEVILLE, OH 44039-2650
(216) 272-2663

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0632088
OH
01
351601
WELLCARE
OH
Enumeration date
10/18/2007
Last updated
12/31/2018
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