Organization
EDWARD R JACOBS OD PC
Active
Other names
Jacobs Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R JACOBS O.D. P.C. (PRESIDENT)
(973) 785-4499
Entity
Organization
Contact information
Practice address
999 RIVERVIEW DR, SUITE 203, TOTOWA, NJ 07512-1164
(973) 785-4499
(973) 785-4699
Mailing address
999 RIVERVIEW DR, SUITE 203, TOTOWA, NJ 07512-1164
(973) 785-4499
(973) 785-4699
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098716
MEDICARE GROUP NUMBER
NJ
Enumeration date
11/09/2007
Last updated
06/16/2008
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