DR. DAVID A JACOBY (NPI# 1003811761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003811761 |
| Entity Type | Individual |
| Full Name | DR. DAVID A JACOBY |
| Credential | DOCTOR OF OPTOMETRY |
| Practice Address |
613 Market Street Osage City KS 66523-1282 |
| Mailing Address |
Po Box 258 Osage City KS 66523-0258 |
| Practice Telephone | 7855284136 |
| Practice Fax Number | 7855283422 |
| Mailing Telephone | 7855284136 |
| Mailing Fax Number | 7855283422 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1171-3 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 1003811761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902992449 | David Reid Jacoby | Psychiatry & Neurology | 55 Tremont Street, Charlestown, MA 02129-3148 | 2006-10-04 |
| 1295715134 | David Alexander Jacoby | Internal Medicine | 1036 Laurel St, San Carlos, CA 94070 | 2006-01-18 |
| 1437335635 | David J Jacoby | Emergency Medicine | 5656 Bee Cave Rd, West Lake Hills, TX 78746-5280 | 2008-01-17 |
| 1982701751 | David Bernard Jacoby | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-09-20 |
| Street Address |
613 MARKET STREET |
| City | OSAGE CITY |
| State | KS |
| Zip Code | 66523-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043386287 | David A Jacoby Od Chartered | Eyewear Supplier (Equipment, not the service) | 131 W Market St Ste A, Osage City, KS 66523 | 2006-11-28 |
| 1316047442 | Teresa Barker Sturm | Physical Therapist | 104 West Market, Suite B, Osage City, KS 66523 | 2006-09-25 |
| 1780791699 | Carrie A. Hagemann | Family Medicine | 131 W. Market, Suite B, Osage City, KS 66523 | 2006-08-24 |
| 1235243460 | Salt Creek Rehab LLC | Physical Therapy Assistant | 104 W Market St, Suite B, Osage City, KS 66523 | 2006-08-17 |
| 1669543393 | Melissa K Herdman | Nurse Practitioner | 131 W. Market, Osage City, KS 66523 | 2006-11-13 |
| 1528357480 | Christopher Scott Jenks | Family Medicine | 131 W Market St, Ste B, Osage City, KS 66523-1000 | 2011-03-31 |
| 1568899953 | Lindsey Buckman | Nurse Practitioner | 131 W Market St, Suite B, Osage City, KS 66523-1000 | 2013-10-01 |
| 1760410435 | James D Seeman | Family Medicine | 131 Market St, Suite B, Osage City, KS 66523-1040 | 2006-06-29 |
| 1023485802 | Kylie Hastings | Nurse Practitioner | 131 W Market St Ste B, Osage City, KS 66523-1099 | 2015-08-27 |
| 1730681818 | Jodi L Wulfkuhle | Nurse Practitioner | 131 W Market St Ste B, Osage City, KS 66523-1099 | 2018-03-05 |
| Find all providers in zip 66523 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529197 | Drs Price Young Odle & Horsch Pa | Optometrist | 975 N Mur Len Rd Ste D, Olathe, KS 66062-1803 | 2020-08-19 |
| 1174141303 | Megan Anne Williams | Optometrist | 21 N 12th St Ste 102, Kansas City, KS 66102-5172 | 2020-07-14 |
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1679123590 | Acuity Vision Center LLC | Optometrist | 11114 S Lone Elm Rd, Olathe, KS 66061-9434 | 2019-09-12 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 1306493044 | Steven Bartholomew Od, LLC | Optometrist | 809 N 3rd St Ste 200, Manhattan, KS 66502-6702 | 2019-08-19 |
| 1427612084 | Kansas Physicians Eyecare Group, P.C. | Optometrist | 438 S Rock Rd, Wichita, KS 67207-1150 | 2019-04-29 |
| 1396213799 | Wichita Optometry, P.a. | Optometrist | 2330 N Amidon Ave, Wichita, KS 67204-5630 | 2018-11-05 |
| 1073090742 | Eyesmile Vision LLC | Optometrist | 1300a Main St, Hays, KS 67601-3658 | 2018-07-25 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE CITY |
| Zip Code | 66523 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.