John Paul Jacobi, O.D., F.C.O.V.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

4901003208 Issued in MI

Practice address

32415 5 Mile Rd
Livonia, MI 48154-3039

Phone

(734) 525-8170

Fax

(734) 525-0726

NPI assigned

Dec 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Aeg Michigan Professional LLC

  • Optometrist
  • Chesaning, MI
  • NPI 1053032912
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1437212560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32415 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543039",
            "telephone_number": "734-525-8170",
            "fax_number": "734-525-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32415 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543039",
            "telephone_number": "734-525-8170",
            "fax_number": "734-525-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D., F.C.O.V.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901003208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zannie Roy Jackson Jr., PEER SUPPORT SPECIAL
• Jaclyn Grad OT LLC
• Jackson Jacob, CCP
• Kia Jacob
• Laith J Jacob, MD, MBCHB
• Austin Jacobs
• Chelsea Jacobs, CTRS
• Mark J Jacobs, DDS
• Brian Jacobson, D.D.S.
• Callie Jacobson, DPM

• Vision Therapy Optometrist in Livonia, MI
• Providers in Livonia, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.