Jacobs, Jon Stephen
Jacobs, Jon Stephen is an sole proprietor health care provider with primary practice located at 2419 E Commercial Blvd Ste 100 , Fort Lauderdale FL 33308. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobs, Jon Stephen can be contacted via phone (954) 771-9120.Contact Information
Primary practice address
2419 E Commercial Blvd Ste 100
Fort Lauderdale FL 33308
Phone: (954) 771-9120
Fax: (954) 771-4883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC0000951 | Florida |
Profile Details
| NPI number | 1376535948 |
|---|---|
| LBN Legal business name | Jacobs, Jon Stephen |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Jun 29th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376535948 | NPPES |
| Florida | MEDICAID | 084148000 |
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