Active NPI
Jacobs Eye Center, LTD.
Doing business as Anne Jacobs MD LLC
- Ophthalmology Physician
- Avon, OH
National Provider Identifier
1225227986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JACOBS EYE CENTER, LTD.
- Doing business as
- Anne Jacobs MD LLC
- Practice address
- 37500 Harvest Ave
Avon, OH 44011-2804 - Phone
- (440) 934-2750
- NPI assigned
- Oct 18, 2007
- Last updated
- Dec 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Anne Jacobs, M.D.
- Title
- Owner/President
- Phone
- (216) 272-2663
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | OH | Primary |
Addresses
Primary practice location
37500 Harvest Ave
Avon, OH 44011-2804
Mailing address
5883 Hickory TRL
N Ridgeville, OH 44039-2650
Phone (216) 272-2663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0632088 | Medicaid | OH | |
| 351601 | Other | OH | WELLCARE |
Other names 1
- Anne Jacobs MD LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Avon, OH
- NPI 1376599712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546214400000",
"number": "1225227986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5883 HICKORY TRL",
"city": "N RIDGEVILLE",
"state": "OH",
"postal_code": "440392650",
"telephone_number": "216-272-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37500 HARVEST AVE",
"city": "AVON",
"state": "OH",
"postal_code": "440112804",
"telephone_number": "440-934-2750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOBS EYE CENTER, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2018-12-31",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "216-272-2663",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0632088",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "351601",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Anne Jacobs MD LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.