John Y Jacobs OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12983 Issued in CA

Legal business name

JOHN Y JACOBS OD INC

Practice address

5657 Wilshire Blvd
Suite 130
Los Angeles, CA 90036-3736

Phone

(310) 717-4901

NPI assigned

Jan 24, 2013

Organization subpart

No

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

Authorized official

Name

John Jacobs

Title

Ceo

Phone

(310) 717-4901

Specialties & licenses 1

Addresses

Other names 1

• eye see optometry Doing business as

Locations

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1144568288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 WILSHIRE BLVD",
            "address_2": "SUITE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 WILSHIRE BLVD",
            "address_2": "SUITE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363736",
            "telephone_number": "310-717-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN Y JACOBS OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-717-4901"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eye see optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Johnny K. Kim DDS Inc

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.