Matthew Jacobs

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003026 Issued in GA

Practice address

500 E Alice St
Bainbridge, GA 39819-4998

Phone

(630) 485-1369

NPI assigned

Jun 21, 2017

Last updated

Jun 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoss Eyecare, P.C.

  • Optometrist
  • Bainbridge, GA
  • NPI 1184134744
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1023538196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 FRED GEORGE RD APT 704",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323031503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E ALICE ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194998",
            "telephone_number": "630-485-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chima E Ihedigbi, PHARMD
• Infuse Aesthetics and Wellness, LLC
• Inner Journey & Tranquility's Haven, LLC
• Henry Santo Intili, FNP
• J. Sydney Cochran,MDPC
• Jerjis T Alajaji (Jerjis T. Alajaji, M.D.)
• Jimmy F Maxwell DMD PC
• John D. Archbold Memorial Hospital, Inc. (Decatur County Dialysis Facility)
• John D. Archbold Memorial Hospital, Inc. (Archbold - Bainbridge Specialty Clinic)
• John D. Archbold Memorial Hospital, Inc. (Archbold - Bainbridge Specialty Clinic II)

• Optometrist in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.