Active NPI
Leonard Jacobson MD Inc
- Ophthalmology Physician
- Cincinnati, OH
National Provider Identifier
1508048760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35030761
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133993 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.