James Leland Jacob, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2230 Issued in MO

Practice address

6664 Mexico Rd
Saint Peters, MO 63376-4131

Phone

(636) 970-2929

NPI assigned

Jan 31, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972640977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SOUTHERN OAKS CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034068",
            "telephone_number": "636-949-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6664 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764131",
            "telephone_number": "636-970-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "JAMES",
        "middle_name": "LELAND",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Mandava LLC
• J. Kevin McGraw D.D.S., P.C.
• Jack W. Haney, D.D.S., P.C.
• Kasey Jackson, MA, LPC
• Marley Jackson, NP
• Aimee Jacobs, O.D.
• Holly Jacobs, LPC
• Brittany Ann Jaecques, PHARMD
• James a. Kopfensteiner, DDS LLC
• James Chiropractic LLC

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.