Active NPI
John J Jacobson, MD
- Ophthalmology Physician
- Ogdensburg, NY
National Provider Identifier
1770565137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1670291
- Practice address
- 301 Ford St
Ogdensburg, NY 13669 - Phone
- (315) 393-7171
- Fax
- (315) 393-2382
- NPI assigned
- Nov 18, 2005
- 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 | 1670291 | NY | Primary |
Addresses
Primary practice location
301 Ford St
Ogdensburg, NY 13669
Mailing address
301 Ford St
Ogdensburg, NY 13669
Phone (315) 393-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01076484 | Medicaid | NY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1670291 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M B Kayani Physician PC | Ophthalmology | Past | Accepting new patients |
| Watertown Medical Optical PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Gouverneur, NY
- NPI 1407319155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770565137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-393-7171",
"fax_number": "315-393-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FORD ST",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-393-7171",
"fax_number": "315-393-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "JOHN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "1670291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01076484",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.