Jeffrey Lee Jacobson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA00319 Issued in RI

Practice address

1400 Oaklawn Ave
Optometric Providers of Rhode Island, Inc
Cranston, RI 02920-2643

Phone

(401) 463-6696

Fax

(401) 463-5913

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeffrey Lee Jacobson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Optometric Care Inc

  • Optometrist
  • Middletown, RI
  • NPI 1821047143
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1689626947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 ERIE BLVD EAST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13224",
            "telephone_number": "315-445-7665",
            "fax_number": "315-445-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OAKLAWN AVE",
            "address_2": "OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202643",
            "telephone_number": "401-463-6696",
            "fax_number": "401-463-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFFREY",
            "last_name": "JACOBSON",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maria Jablonski, O.D.
• Jack P Mourad,MD,Inc
• Gene M Jacobs, D.O.
• Michael Lee Jacobs, PT, DPT
• Sarah C Jacobs, LCSW
• James K. Cardi,M.D.,Inc
• James R. Bonner, MD, Inc (James R. Bonner, MD)
• Wilhelmina Aquino Japlit, N MD
• Keith Jarvis, MASTERS
• Kevin Jarvis, PHARMD

• Optometrist in Cranston, RI
• Providers in Cranston, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.