Individual
JACOB ANTHONY LIKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1819 ELECTRIC RD STE 1A, ROANOKE, VA 24018-1605
(540) 855-5100
Mailing address
2564 ORANGE AVE NE APT 309, ROANOKE, VA 24012-6296
(239) 223-1505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618003507
VA
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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