Organization
JACOBSEN EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA INEZ JACOBSEN OD (SOLE MEMBER)
(309) 796-1444
Entity
Organization
Contact information
Practice address
704 CROSSTOWN AVE, SILVIS, IL 61282-1651
(309) 796-1444
(309) 796-1444
Mailing address
704 CROSSTOWN AVE, SILVIS, IL 61282-1651
(309) 796-1444
(309) 796-1444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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