Steve E Jacobs, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000267 Issued in VA

Practice address

620 N Main St
Ste 101
Blacksburg, VA 24060-3385

Phone

(540) 953-0136

Fax

(540) 953-1358

NPI assigned

Jun 27, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Farhi Eye Care & Surgery Specialists, LLC

  • Medical Specialty Clinic/Center
  • Blacksburg, VA
  • NPI 1598058729
  Medicare reassignment NPD
• Gowen Eye, LLC

  • Optometrist
  • Blacksburg, VA
  • NPI 1467703736
  NPD
• Johnson Curran Optometry Centers PC

  • Optometrist
  • Roanoke, VA
  • NPI 1487750683
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1033115779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "address_2": "STE 101",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603385",
            "telephone_number": "540-953-0136",
            "fax_number": "540-953-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "address_2": "STE 101",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603385",
            "telephone_number": "540-953-0136",
            "fax_number": "540-953-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEVE",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILCAND MEDICARE",
            "identifier": "410031149",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009202609",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristie Lynn Jackson, NP
• Lukas Jackson, DPT
• Minna R Jackson, LPC
• William Materson Jackson, CRNFA
• Megan Jacobs
• Anne Jacobsen, LCSW
• Kari James
• Katherine Penney Jamison, PHARMD
• Marcia Beard Jaudon, LCSW
• Jay M. Bass D.D.S. P.C.

• Optometrist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.