Allyn Howard Jacobson, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPC1033 Issued in FL

Practice address

9529 SW 160TH St
Miami, FL 33157-3350

Phone

(305) 238-2121

Fax

(305) 238-2123

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allyn Jacobson OD PA

  • Optometrist
  • Miami, FL
  • NPI 1376915066
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1972684405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9529 SW 160TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573350",
            "telephone_number": "305-238-2121",
            "fax_number": "305-238-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9529 SW 160TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331573350",
            "telephone_number": "305-238-2121",
            "fax_number": "305-238-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ALLYN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC1033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084493400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Jacobs, LAC
• Moises Jacobs, M.D.,F.A.C.S.
• Patrick Loyd Jacobs, PHD
• Kim Kristine Jacobsen, D.O.
• Ali Jacobson
• Mitchell Jacobson, PA-C
• Nathan A Jacobson, M.D.
• Ralph W Jacobson, DDS
• Jacolby Wellness Institute Inc
• Maria Auxiliadora Jacome Llovera, MD

• Corneal and Contact Management Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.