Edward T Jacobs, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

1513DT Issued in KY

Practice address

1 N Maysville St
Mount Sterling, KY 40353-1315

Phone

(859) 498-6001

Fax

(859) 497-0222

NPI assigned

Jan 9, 2007

Last updated

Jun 21, 2013By the provider in NPPES

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

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Helderman and Jacobs Vision Center, PLLCGroup PAC ID 5193701159, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Helderman & Jacobs Vision Center, PLLC

  • Optometrist
  • Mt Sterling, KY
  • NPI 1699824912
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1487703732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531315",
            "telephone_number": "859-498-6001",
            "fax_number": "859-497-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N MAYSVILLE ST",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531315",
            "telephone_number": "859-498-6001",
            "fax_number": "859-497-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "EDWARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1513DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000382771",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000461",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elisabeth Ison, MD
• Elizabeth Huge Jackson, LPA
• Emma Jackson
• Jeffrey Jackson
• Mildred Jackson
• Jennifer Lynn James
• Latonya Jarman
• Vivian Jeffries
• Kristeena Jenkins
• John I Gray III PSC

• Optometrist in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.