Organization
PAUL C JACOBS TREVOR CRABTREE PTR
Active
Other names
JACOBS & CRABTREE DCTRS OF OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN SUE KELLER (OFFICE MANAGER)
(618) 993-8787
Entity
Organization
Contact information
Practice address
223 N PARK AVE, HERRIN, IL 62948-3149
(618) 942-6887
(618) 988-1209
Mailing address
1508 SIOUX DR, MARION, IL 62959-5200
(618) 993-8787
(618) 997-6547
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
046-008310
IL
Other
Enumeration date
06/20/2007
Last updated
12/17/2014
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