Organization
JERRY S. JACOBS, O.D., P.C.
Active
Other names
Dr. Jerry Jacobs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY S JACOBS O.D. (PRESIDENT/OWNER)
(214) 651-1000
Entity
Organization
Contact information
Practice address
1201 ELM ST, STE LL20, DALLAS, TX 75270-2102
(214) 651-1000
(214) 651-1003
Mailing address
1201 ELM ST, STE. LL20, DALLAS, TX 75270-2102
(214) 651-1000
(214) 651-1003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1781TG
TX
Other
Enumeration date
04/21/2011
Last updated
09/01/2011
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