Jacoby, David A

Jacoby, David A is an individual health care provider with primary practice located at 131 W Market St Ste A , Osage City KS 66523-1099. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jacoby, David A can be contacted via phone (785) 528-4136.

Contact Information

Primary practice address
131 W Market St Ste A Osage City KS 66523-1099
Phone: (785) 528-4136
Fax: (785) 528-3422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1171-3 Kansas

Profile Details

NPI number 1003811761
LBN Legal business name Jacoby, David A
Credentials DOCTOR OF OPTOMETRY
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 23rd, 2023 - about last year

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 1003811761 NPPES
Kansas MEDICAID 1003811761

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