David A Jacoby Od Chartered

LBN: David A Jacoby Od Chartered
David A Jacoby Od Chartered is an health care organization with primary practice located at 131 W Market St Ste A , Osage City KS 66523. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. David A Jacoby Od Chartered can be contacted via phone (785) 528-4136, or through Jacoby, David A via phone (785) 528-4136.

Contact Information

Primary practice address
131 W Market St Ste A Osage City KS 66523
Phone: (785) 528-4136
Fax: (785) 528-3422
Website:
Map and Directions
Authorized official contact:
Name: Jacoby, David A OPTOMETRIST
Phone: (785) 528-4136

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1171-3 Kansas

Profile Details

NPI number 1043386287
LBN Legal business name David A Jacoby Od Chartered
DBA Doing business as
Authorized official Jacoby, David A OPTOMETRIST
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Feb 23rd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043386287 NPPES
Kansas MEDICAID 30004700180001

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