Paul C Jacobs, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

03806T Issued in TX

Practice address

7225 W Highway 71
Suite B
Austin, TX 78735-8350

Phone

(512) 892-1864

Fax

(512) 892-1840

NPI assigned

Feb 23, 2006

Last updated

Dec 16, 2009By the provider in NPPES

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 TX

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

State licenses

Practice roles

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.

• Visual Endeavors PLLC

  dba DBA Austin Eyeworks

  • Health Service Clinic/Center
  • Austin, TX
  • NPI 1780073254
  Authorized official Same address or phone
• Live Oak Vision, PLLC

  • Optometrist
  • Austin, TX
  • NPI 1588217509
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1619943347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 W HIGHWAY 71",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358350",
            "telephone_number": "512-892-1864",
            "fax_number": "512-892-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 W HIGHWAY 71",
            "address_2": "SUITE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358350",
            "telephone_number": "512-892-1864",
            "fax_number": "512-892-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03806T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Mary Jacob, MD
• Stephanie Susan Jacob, PHARMD
• Alyssa Jacobs
• Krista Lynd Jacobs, FNP
• Miranda Jacobs
• Rachel Lauren Jacobs, LCSW
• Lauren Jacobsen, DMD
• Carl Jacobson, LPC
• Graal Baiocchi Jacobson, MA, LPC
• Karen Jacobson, M.D.

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.