Individual
DR. RANDALL K. JACOBSON
Active
Individual
DR. RANDALL K. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00036964
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005537
ASURIS(REGENCE BS OF ID)
ID
01
—
125850
LABOR AND INDUSTRIES
WA
01
—
17297
GROUP HEALTH
WA
05
—
8239758
—
WA
01
—
A025
TRICARE
WA
01
—
JA7856
ASURIS(REGENCE NW HEALTH)
WA
01
—
KM646
BLUE CROSS OF ID
ID
01
—
WA0690
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
07/12/2005
Last updated
07/13/2026
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