Gary J Jacobs, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6057 Issued in CA

Legal business name

GARY J JACOBS, OD, INC

Practice address

300 E Esplanade Dr
Suite 560
Oxnard, CA 93036-1238

Phone

(805) 485-5831

Fax

(805) 485-5657

NPI assigned

Jul 27, 2007

Last updated

Jul 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary John Jacobs, ODNPI 1538204326

Title

President

Phone

(805) 485-5831

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary John Jacobs, O.D.

  • Optometrist
  • Oxnard, CA
  • NPI 1538204326
  Authorized official Same address or phone

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1922298702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E ESPLANADE DR",
            "address_2": "SUITE 560",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361238",
            "telephone_number": "805-485-5831",
            "fax_number": "805-485-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ESPLANADE DR",
            "address_2": "SUITE 560",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361238",
            "telephone_number": "805-485-5831",
            "fax_number": "805-485-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY J JACOBS, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-485-5831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0060570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Garica
• Valerie Jean Garrett, M.F.T.
• Karen Lisa Garrety, OD
• Amalia Garrido
• Gary C Smith MD a Professional Corporation
• Gary J Proffett, MD, Apc
• Pratima Gautam, OD
• Brooke Gauvin
• Sean F Gavin, D.C.
• David P. Geary, M.D.

• Optometrist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.