Active NPI
Leonard Jacobson, M.D.
- Ophthalmology Physician
- Cincinnati, OH
National Provider Identifier
1679598262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35030761
- Practice address
- 5240 E Galbraith Rd
Suite B
Cincinnati, OH 45236-2877 - Phone
- (513) 745-9787
- Fax
- (513) 745-9789
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35030761 | OH | Primary |
Addresses
Primary practice location
5240 E Galbraith Rd
Suite B
Cincinnati, OH 45236-2877
Mailing address
5535 Fair LN
Suite C
Cincinnati, OH 45227-3434
Phone (513) 221-5274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133993 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35030761 | OH | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1679598262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 FAIR LN",
"address_2": "SUITE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452273434",
"telephone_number": "513-221-5274",
"fax_number": "513-961-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E GALBRAITH RD",
"address_2": "SUITE B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452362877",
"telephone_number": "513-745-9787",
"fax_number": "513-745-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "LEONARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_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 Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.