Organization Active NPI

Leonard Jacobson MD Inc

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1508048760
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35030761 Issued in OH
Legal business name
LEONARD JACOBSON MD INC
Practice address
7770 Cooper Rd
Suite 8
Cincinnati, OH 45242-7744
Phone
(513) 793-9040
Fax
(513) 793-9092
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Leonard Jacobson, M.D.
Title
President
Phone
(513) 793-9040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 35030761 OH Primary

Addresses

Primary practice location

7770 Cooper Rd
Suite 8
Cincinnati, OH 45242-7744

Mailing address

7770 Cooper Rd
Suite 8
Cincinnati, OH 45242-7744
Phone (513) 793-9040

Other identifiers 1

IdentifierTypeStateIssuer
0133993MedicaidOH

National Provider Directory

National Provider Directory

Locations

7770 Cooper Rd
Ste 8
Montgomery, OH 45242
Phone (513) 793-9040

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1508048760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7770 COOPER RD",
            "address_2": "SUITE 8",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427744",
            "telephone_number": "513-793-9040",
            "fax_number": "513-793-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 COOPER RD",
            "address_2": "SUITE 8",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452427744",
            "telephone_number": "513-793-9040",
            "fax_number": "513-793-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD JACOBSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-793-9040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35030761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0133993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.