Organization
GARY J JACOBS, OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOHN JACOBS OD (PRESIDENT)
(805) 485-5831
Entity
Organization
Contact information
Practice address
300 E ESPLANADE DR, SUITE 560, OXNARD, CA 93036-1238
(805) 485-5831
(805) 485-5657
Mailing address
300 E ESPLANADE DR, SUITE 560, OXNARD, CA 93036-1238
(805) 485-5831
(805) 485-5657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0060570
—
CA
Enumeration date
07/27/2007
Last updated
07/09/2009
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