Individual
DR. STEPHANIE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
20 FERGUSON BLVD, DRY RIDGE, KY 41035-8635
(859) 824-1333
Mailing address
9100 BRANTLEY WAY, FLORENCE, KY 41042-8684
(859) 384-7646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1452DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001216878
CHA
KY
01
—
5013OD
HUMANA
KY
05
—
77001576
—
KY
01
—
DAVIS
47900
KY
Enumeration date
03/06/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us