Organization Active NPI

Jacobson Eyecare, Inc.

  • Optometrist
  • Lititz, PA
National Provider Identifier
1831406396
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002450 Issued in PA
Legal business name
JACOBSON EYECARE, INC.
Practice address
245 Bloomfield Dr
Suite 108
Lititz, PA 17543-7788
Phone
(717) 517-7190
Fax
(717) 517-7379
NPI assigned
Sep 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Dr. William Jay Jacobson, OD
Title
Optometrist/Owner
Phone
(717) 517-7190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG002450 PA Primary

Addresses

Primary practice location

245 Bloomfield Dr
Suite 108
Lititz, PA 17543-7788

Mailing address

245 Bloomfield Dr
Suite 108
Lititz, PA 17543-7788
Phone (717) 517-5190

National Provider Directory

National Provider Directory

Locations

245 Bloomfield Dr
Ste 108
Lititz, PA 17543
Phone (717) 517-7190

NPI Registry JSON

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

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1831406396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR",
            "address_2": "SUITE 108",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-517-5190",
            "fax_number": "717-517-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR",
            "address_2": "SUITE 108",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437788",
            "telephone_number": "717-517-7190",
            "fax_number": "717-517-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "717-517-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.