Dr. Carl H. Jacobsen
Optometrist
200 Minor Hall Uc Berkeley
Berkeley
, California 94720-2020
Dr. Carl H. Jacobsen
Optometrist
200 Minor Hall Uc Berkeley
Berkeley
, California 94720-2020
(510) 642-4025
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Carl H. Jacobsen
- 200 Minor Hall Uc Berkeley
- Berkeley, CA
- Zip : 94720-2020
- Fax : (510) 642-4025
- Phone : (510) 643-9826
Second Address
- Dr. Carl H. Jacobsen
- 200 Minor Hall Uc Berkeley
- Berkeley, CA
- Zip : 94720-2020
- Fax : (510) 642-4025
- Phone : (510) 643-9826
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT10030TLG | CA |
National Provider Identifier
| NPI | 1003941766 |
|---|---|
| Provider Name | Dr. Carl H. Jacobsen |
| First Address | Berkeley, CA 94720-2020 |
| Second Address | Berkeley, CA 94720-2020 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/02/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U89232 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.