Individual
DR. JAMES DAVID JACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
106 N 6TH ST, MURRAY, KY 42071-2015
(270) 753-2842
(270) 753-2844
Mailing address
106 N 6TH ST, MURRAY, KY 42071-2015
(270) 753-2842
(270) 753-2844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1292DT
KY
174400000X
Specialist
1292DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000690402
ANTHEM BCBS
KY
01
—
390064
HEALTHLINK
KY
01
—
7594579
AETNA
KY
05
—
77012920
—
KY
01
—
U52171
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
02/15/2006
Last updated
03/07/2023
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