Organization
R. Y. JACOBSON, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY M SHANKS (OFFICE MANAGER)
(515) 573-1145
Entity
Organization
Contact information
Practice address
1428 2ND AVE N, FORT DODGE, IA 50501-4119
(515) 573-1145
(515) 573-1028
Mailing address
1428 2ND AVE N, FORT DODGE, IA 50501-4119
(515) 573-1145
(515) 573-1028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01536
IA
Other
Enumeration date
12/17/2008
Last updated
01/14/2009
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