Jacobs, Mark Edward
Jacobs, Mark Edward is an individual health care provider with primary practice located at 300 Julian Ln , Arden NC 28704-7809. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobs, Mark Edward can be contacted via phone (828) 650-2727.Contact Information
Primary practice address
300 Julian Ln
Arden NC 28704-7809
Phone: (828) 650-2727
Fax: (828) 650-2725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NY 005118 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | NC 1366 | North Carolina |
Profile Details
| NPI number | 1457392466 |
|---|---|
| LBN Legal business name | Jacobs, Mark Edward |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 11th, 2020 - about 4 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 | 1457392466 | NPPES |
| North Carolina | MEDICAID | 890908J | |
| North Carolina | Other | 0908J |
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