Alma Jacobsen, O.D. Family Eye Care & Contact Lens

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

OA00583600 Issued in NJ

Legal business name

ALMA JACOBSEN, O.D. FAMILY EYE CARE & CONTACT LENS

Practice address

400 Renaissance Blvd.
N. Brunswick, NJ 08902

Phone

(732) 821-0300

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alma T Jacobsen, OD

Title

Owner

Phone

(732) 821-0300

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1497907307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE BLVD.",
            "city": "N. BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-821-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RENAISSANCE BLVD.",
            "city": "N. BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-821-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALMA JACOBSEN, O.D. FAMILY EYE CARE & CONTACT LENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-821-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "OA00583600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I MEDICARE NPI",
            "identifier": "1174648059",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015725",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Marta Goldstein, L.S.W.
• Alma Jacobsen, OD
• Nedinia Modelo II
• Mehdi H Naqui, MD
• Saint Michael Pharmaceuticals LLC

• Medical Specialty Clinic/Center in N. Brunswick, NJ
• Providers in N. Brunswick, NJ by specialty
• Medical Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.