Individual
JACOB FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2316 MEETINGHOUSE RD, UPPER CHICHESTER, PA 19061-3438
(610) 485-1500
Mailing address
1950 OLD GALLOWS RD, VIENNA, VA 22182-3990
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003473
PA
Other
Enumeration date
08/20/2018
Last updated
11/03/2021
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