Jaco, James David

Jaco, James David is an individual health care provider with primary practice located at 106 N 6Th St , Murray KY 42071-2015. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Jaco, James David can be contacted via phone (270) 753-2842.

Contact Information

Primary practice address
106 N 6Th St Murray KY 42071-2015
Phone: (270) 753-2842
Fax: (270) 753-2844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1292DT Kentucky
Other Service Providers / Specialist 174400000X 1292DT Kentucky

Profile Details

NPI number 1932173069
LBN Legal business name Jaco, James David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932173069 NPPES
Kentucky Other 390064 HEALTHLINK
Kentucky Other U52171 HEALTHLINK
Kentucky Other 000000690402 HEALTHLINK
Kentucky Other 7594579 HEALTHLINK
Kentucky MEDICAID 77012920 HEALTHLINK

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