Individual provider Active NPI

Tony Philip Jacob, O.D.

  • Optometrist
  • Lockhart, TX
National Provider Identifier
1326202995
Registry record updated May 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7256T Issued in TX
Practice address
1001 W San Antonio St
Lockhart, TX 78644-2421
Phone
(512) 398-7600
Fax
(512) 398-3333
NPI assigned
Jul 14, 2008
Last updated
May 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7256T TX Primary

Addresses

Primary practice location

1001 W San Antonio St
Lockhart, TX 78644-2421

Mailing address

1001 W San Antonio St
Lockhart, TX 78644-2421
Phone (409) 221-7767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7256TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Heidi B Doucet, P.L.L.C. Optometrist PastSince Jul 5, 2004 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275091200000",
    "number": "1326202995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442421",
            "telephone_number": "409-221-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W SAN ANTONIO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442421",
            "telephone_number": "512-398-7600",
            "fax_number": "512-398-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "TONY",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2010-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7256T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2010; 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.