William Jay Jacobson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002450 Issued in PA

Practice address

245 Bloomfield Dr
Suite 108
Lititz, PA 17543-7788

Phone

(717) 517-7190

Fax

(717) 517-7379

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Matthew J. Link, O.D. LLC

  • Optometrist
  • Lititz, PA
  • NPI 1265196851
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1114009982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR",
            "address_2": "SUITE 108",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-517-7190",
            "fax_number": "717-517-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR",
            "address_2": "SUITE 108",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-517-7190",
            "fax_number": "717-517-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "WILLIAM",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMIN",
            "identifier": "397572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5211416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katlyn Marie Irwin, PTA
• Mary E Ivy, M.D.
• J. Cornack Therapy Group LLC
• J. Cornack Therapy Group LLC
• Jacobson Eyecare, Inc.
• JDM Therapeutics, LLC
• Emmanuel Jean-Philippe, CORECHI-P, HAITIAN
• Yuel-Kai Jean, DO
• Steven J Jellum, OTR
• Jen Lerma, LCSW, LLC

• Optometrist in Lititz, PA
• Providers in Lititz, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.