Individual
DR. CHRISTOPHER JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
262 E 400 S, SPRINGVILLE, UT 84663-1956
(801) 489-5166
Mailing address
1584 E 350 S, SPRINGVILLE, UT 84663-2728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10901488-9934
UT
152W00000X
Optometrist
3609ATI
OR
Other
Enumeration date
06/16/2015
Last updated
12/07/2021
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