Dr. David A Jacoby
Optometrist
131 W Market St Ste A
Osage City
, Kansas 66523-1099
Dr. David A Jacoby
Optometrist
131 W Market St Ste A
Osage City
, Kansas 66523-1099
(785) 528-3422
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. David A Jacoby
- Po Box 258
- Osage City, KS
- Zip : 66523-0258
- Fax : (785) 528-3422
- Phone : (785) 528-4136
Second Address
- Dr. David A Jacoby
- 131 W Market St Ste A
- Osage City, KS
- Zip : 66523-1099
- Fax : (785) 528-3422
- Phone : (785) 528-4136
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1171-3 | KS |
National Provider Identifier
| NPI | 1003811761 |
|---|---|
| Provider Name | Dr. David A Jacoby |
| First Address | Osage City, KS 66523-0258 |
| Second Address | Osage City, KS 66523-1099 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 28/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003811761 | (05) | KS |
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.