Organization
DR. STEVE JACOBS, OPTOMETRIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE JACOBS O.D. (OPTOMETRIST/OWNER)
(540) 953-0136
Entity
Organization
Contact information
Practice address
620 N MAIN ST, SUITE 101, BLACKSBURG, VA 24060-3385
(540) 953-0136
(540) 953-1358
Mailing address
620 N MAIN ST, SUITE 101, BLACKSBURG, VA 24060-3385
(540) 953-0136
(540) 953-1358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000267
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9202609
—
VA
Enumeration date
12/10/2015
Last updated
12/10/2015
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