Jacobs, Michael E.
Jacobs, Michael E. is an sole proprietor health care provider with primary practice located at 573 Five Cities Dr , Pismo Beach CA 93449-3005. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobs, Michael E. can be contacted via phone (805) 773-4700.Contact Information
Primary practice address
573 Five Cities Dr
Pismo Beach CA 93449-3005
Phone: (805) 773-4700
Fax: (805) 773-4248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 7230 TPA | California |
Profile Details
| NPI number | 1821101684 |
|---|---|
| LBN Legal business name | Jacobs, Michael E. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jan 25th, 2008 - about 16 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 | 1821101684 | NPPES |
| California | MEDICAID | SD0072300 |
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