DR. RICHARD Y JACOBSON (NPI# 1053399691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053399691 |
| Entity Type | Individual |
| Full Name | DR. RICHARD Y JACOBSON |
| Credential | O.D. |
| Practice Address |
1428 2nd Ave N Medical Arts Bldg Fort Dodge IA 50501-4119 |
| Practice Telephone | 5155731145 |
| Practice Fax Number | 5155731028 |
| Mailing Telephone | 5155731145 |
| Mailing Fax Number | 5155731028 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1536 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BC/BS | 07134 | 01 |
| IA | MEDICARE ID - TYPE UNSPECIFIED | IB1233001 | 01 |
| IA | 3066183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952443673 | Richard Samuel Jacobson | Pediatrics | 10515 Balboa Bl., Suite 250, Granada Hills, CA 91344 | 2007-02-12 |
| 1013968858 | Richard David Jacobson | Psychiatry & Neurology | 4228 Brookfield Dr, Charlotte, NC 28210 | 2006-05-15 |
| 1114411824 | Richard Michael Jacobson | Counselor | 401 W Morrison Ave Ste B, Santa Maria, CA 93458-6124 | 2018-06-15 |
| 1144601667 | Richard A Jacobson Jr. | Surgery | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2015-06-10 |
| 1063614477 | Richard Harvey Jacobson | Psychiatry & Neurology | 1100 Ward Ave, Suite 1070, Honolulu, HI 96814-1600 | 2007-06-05 |
| 1184751125 | Richard Leslie Jacobson | Dentist | 881 Alma Real Dr, Suite 200, Pacific Palisades, CA 90272-3731 | 2007-02-27 |
| 1750391280 | Richard G Jacobson | Physician Assistant | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2006-08-08 |
| 1023042686 | Richard Yngve Jacobson Jr. | Nurse Anesthetist, Certified Registered | 112 Jefferson St, West Union, IA 52175 | 2006-07-10 |
| 1477500288 | Richard Wesley Jacobson | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2006-05-27 |
| Street Address |
1428 2ND AVE N MEDICAL ARTS BLDG |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237059 | Kelsey Ellen Redmond | Nurse Practitioner | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2019-04-20 |
| 1427576164 | Trinity Regional Medical Center | Clinic/Center | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2017-09-01 |
| 1003364316 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2016-09-15 |
| 1346620432 | Brandon Steven Hauck | Optometrist | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2015-06-03 |
| 1902296932 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2015-01-29 |
| 1770991853 | Trimark Physicians Group | Clinic/Center | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2014-08-01 |
| 1316371974 | Shannon Renee Fecher | Nurse Practitioner | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2013-08-30 |
| 1598039463 | Alicia Keeler | Nurse Practitioner | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2012-02-23 |
| 1205124237 | Sandra Lynn Symens | Nurse Practitioner | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2011-07-11 |
| 1700022084 | R. Y. Jacobson, Od | Optometrist | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2008-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| 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 |
|---|---|---|---|---|
| 1659333870 | Ryan J Brown | Optometrist | 1202 2nd Ave N, Fort Dodge, IA 50501-4115 | 2006-04-04 |
| 1205808359 | Jeffrey Scott Foreman | Optometrist | 1511 1st Ave S, Fort Dodge, IA 50501-5012 | 2006-02-03 |
| 1679567481 | Terry Donn Moehnke | Optometrist | 25 S 16th St, Fort Dodge, IA 50501-5021 | 2005-09-07 |
| 1346620432 | Brandon Steven Hauck | Optometrist | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2015-06-03 |
| 1700022084 | R. Y. Jacobson, Od | Optometrist | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2008-12-17 |
| 1740477819 | Heath Family Eyecare Inc | Optometrist | 3036 1st Ave S, Vision Center, Fort Dodge, IA 50501-2988 | 2007-10-02 |
| 1871788109 | Jeffrey S Foreman Od | Optometrist | 1511 1st Ave S, Fort Dodge, IA 50501 | 2007-09-10 |
| 1952437105 | Brent A Heath | Optometrist | 3036 1st Ave S, Fort Dodge, IA 50501-2925 | 2007-02-24 |
| 1043357692 | Bethany A Heath | Optometrist | 3036 1st Ave S, Walmart Vision Center, Fort Dodge, IA 50501-2925 | 2007-01-31 |
| 1912065095 | Medical Arts Eyecare, Plc | Optometrist | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2006-12-04 |
| Find all providers in FORT DODGE | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
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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.