Individual
RENEE KATHLEEN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
9862 W BELLEVIEW AVE, LITTLETON, CO 80123-2101
(303) 979-6910
(303) 979-2212
Mailing address
PO BOX 150473, LAKEWOOD, CO 80215-0473
(303) 979-6910
(303) 979-2212
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1542
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08915423
—
CO
Enumeration date
03/23/2006
Last updated
07/08/2007
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