Individual
DR. ZACHARY SHAWN JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4620 WOODVILLE RD, NORTHWOOD, OH 43619-1802
(419) 693-0484
Mailing address
4436 ALEXANDER RD, PEMBERVILLE, OH 43450-9483
(419) 308-4918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007143
OH
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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