Individual
JACOB LIGHT
Active
Individual
JACOB LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D97811
MD
207W00000X
Ophthalmology Physician
MD473519
PA
207W00000X
Ophthalmology Physician
Primary
MD61505824
WA
Other
Enumeration date
01/26/2015
Last updated
08/01/2024
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