Individual
DR. STACIA M JACOBI-GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7110 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-4867
(505) 883-8111
(505) 888-8942
Mailing address
7110 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-4867
(505) 883-8111
(505) 888-8942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2562
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222198
EYEMED COLE SUPERIOR
NM
01
—
55144
DAVIS VISION
NM
Enumeration date
12/29/2006
Last updated
06/02/2016
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