Jacobson, William Jay
Jacobson, William Jay is an individual health care provider with primary practice located at 245 Bloomfield Dr Suite 108, Lititz PA 17543-7788. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacobson, William Jay can be contacted via phone (717) 517-7190.Contact Information
Primary practice address
245 Bloomfield Dr Suite 108
Lititz PA 17543-7788
Phone: (717) 517-7190
Fax: (717) 517-7379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG002450 | Pennsylvania |
Profile Details
| NPI number | 1114009982 |
|---|---|
| LBN Legal business name | Jacobson, William Jay |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Aug 30th, 2012 - about 13 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 | 1114009982 | NPPES |
| Other | 397572 | NATIONAL VISION ADMIN | |
| Other | 5211416 | NATIONAL VISION ADMIN |
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