DAVID A JACOBY OD CHARTERED (NPI# 1043386287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043386287 |
| Entity Type | Organization |
| Organization Name | DAVID A JACOBY OD CHARTERED |
| Practice Address |
131 W Market St Ste A Osage City KS 66523 |
| Mailing Address |
P. O. Box 258 Osage City KS 66523-0258 |
| Practice Telephone | 7855284136 |
| Practice Fax Number | 7855283422 |
| Mailing Telephone | 7855284136 |
| Mailing Fax Number | 7855283422 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | DR. DAVID A JACOBY (PRESIDENT) |
| Authorized Official Telephone | 7855284136 |
| Authorized Official Credential | OPTOMETRIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1171-3 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200004740A | 05 |
| Street Address |
131 W MARKET ST STE A |
| City | OSAGE CITY |
| State | KS |
| Zip Code | 66523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1174063580 | Tracy D Bates | Nurse Practitioner | 131 W Market St Ste B, Osage City, KS 66523-1099 | 2017-03-03 |
| Find all providers in zip 66523 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821630187 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2540 Iowa St Ste K, Lawrence, KS 66046-5754 | 2019-10-08 |
| 1225595408 | Customeyes LLC | Eyewear Supplier (Equipment, not the service) | 1861 N Rock Rd Ste 214, Wichita, KS 67206-1264 | 2019-02-25 |
| 1598233652 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6635 W 135th St, Overland Park, KS 66223-7898 | 2018-11-07 |
| 1699256271 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 10231 W 21st St N # N107, Wichita, KS 67205-1832 | 2018-08-22 |
| 1821443250 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 1703 Village West Parkway, Suite 104, Kansas City, KS 66111-0000 | 2016-05-04 |
| 1982078085 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15206 W 119th St, Suite A, Olathe, KS 66062-5604 | 2015-11-30 |
| 1164819843 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 330 Kansas Ave, Bldg. 700, Fort Leavenworth, KS 66027-1139 | 2015-04-21 |
| 1639437791 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 330 Kansas Ave Bldg 700, Fort Leavenworth, KS 66027-1139 | 2012-04-26 |
| 1437439148 | Eyewear Junction LLC | Eyewear Supplier (Equipment, not the service) | 710 N Washington St, Junction City, KS 66441-2922 | 2011-08-25 |
| 1659501898 | Meadows-bell Opticians LLC | Eyewear Supplier (Equipment, not the service) | 8838 W 95th St, Overland Park, KS 66212-4051 | 2009-07-22 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE CITY |
| Zip Code | 66523 |
Please comment or provide details below to improve the information on DAVID A JACOBY OD CHARTERED.
| 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.