DR. KEVIN SEAN JACOB (NPI# 1124173521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124173521 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SEAN JACOB |
| Credential | O.D. |
| Practice Address |
20 Ferguson Blvd Dry Ridge KY 41035-8635 |
| Mailing Address |
9100 Brantley Way Florence KY 41042-8684 |
| Practice Telephone | 8598241333 |
| Mailing Telephone | 8593847646 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1458DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000255312 | 01 |
| KY | 77001535 | 05 | |
| KY | CHA | 000001186679 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Heights Blvd, Florence, KY 410421415 | 8595687015 | 8595687016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063492486 | Kevin Charles Jacob | Chiropractor | 3820 S Lapeer Rd, Metamora, MI 48455-8751 | 2006-01-20 |
| 1750902714 | Kevin Jacob | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2020-04-30 |
| Street Address |
20 FERGUSON BLVD |
| City | DRY RIDGE |
| State | KY |
| Zip Code | 41035-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356368682 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2006-07-16 |
| 1194325217 | Holly Lyn Stahl | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2020-10-28 |
| 1821698945 | Tina Maria Richardson | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2020-10-28 |
| 1033719547 | Amanda Lerae Naranjo | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2020-10-26 |
| 1841681400 | Jacob Family Eyecare, LLC | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2015-02-17 |
| 1376767129 | Charles Patrick Childers | Pharmacist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-04-12 |
| 1952431199 | Stephanie Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-03-06 |
| 1609958859 | Wal-mart Stores East, Lp | Technician/Technologist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164713103 | Grant County Wellness Center LLC | Anesthesiology | 99 S. Main St., Dry Ridge, KY 41035 | 2011-04-25 |
| 1174745772 | Swiss Enterprises, Inc. | Chiropractor | 95 South Main Street, Dry Ridge, KY 41035 | 2007-05-03 |
| 1003907015 | Timothy J Mcmahon | Dentist | 300 Arbors Drive, Suite 5, Dry Ridge, KY 41035 | 2006-09-27 |
| 1174552335 | City of Dry Ridge Kentucky | Ambulance | 31 Broadway St, Dry Ridge, KY 41035 | 2006-07-01 |
| 1821385733 | Jonathan A Byers | Family Medicine | 19 S Main St, Dry Ridge, KY 41035 | 2011-06-30 |
| 1023274651 | Grant Pharmacists Group Inc | Pharmacy | 40 Broadway, Dry Ridge, KY 41035 | 2008-08-04 |
| 1881600054 | Milissa Lynn Sullivan | Occupational Therapist | 118 S Main St, Dry Ridge, KY 41035 | 2006-07-31 |
| 1669405288 | Kelly Catherine Wuellner | Physical Therapist | 118 S Main St, Suites 6 & 7, Dry Ridge, KY 41035 | 2006-07-08 |
| 1225060379 | Debra Stanley Turner | Physical Therapist | 118 S Main St, Suites 6 & 7, Dry Ridge, KY 41035 | 2006-07-07 |
| 1033178777 | Troy Kenneth Ashcraft | Family Medicine | 19 S Main St, Dry Ridge, KY 41035 | 2006-03-21 |
| Find all providers in zip 41035 | ||||
| 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 |
|---|---|---|---|---|
| 1801949227 | Dr Shewmaker & Associates Optometrists Inc | Optometrist | 1114 Fashion Ridge Rd, Dry Ridge, KY 41035-9609 | 2007-01-19 |
| 1841681400 | Jacob Family Eyecare, LLC | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2015-02-17 |
| 1952431199 | Stephanie Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443163 | Eyemax2020 | Optometrist | 3070 Harrodsburg Rd Ste 130, Lexington, KY 40503-2764 | 2020-10-05 |
| 1639780224 | Family First Vision Care Kentucky | Optometrist | 3801 Mall Rd Ste 115, Lexington, KY 40503-4492 | 2020-08-17 |
| 1548871130 | Family First Vision Care Kentucky | Optometrist | 4318 Alexandria Pike, Cold Spring, KY 41076-2040 | 2020-08-17 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1164032512 | Bright Eyes Clinic, LLC | Optometrist | 2290 W Jeff Davis Hwy, Elkton, KY 42220-8708 | 2020-07-31 |
| 1568080828 | Maivys Hernandez Longa | Optometrist | 715 Shaker Dr Ste 120, Lexington, KY 40504-3674 | 2020-07-13 |
| 1154949147 | Garrett Scott Kee | Optometrist | 166 S Carol Malone Blvd Ste A, Grayson, KY 41143-1352 | 2020-07-07 |
| 1275150310 | Liza Stremick | Optometrist | 3701 Hopewell Rd Ste 900, Louisville, KY 40299-5395 | 2020-07-05 |
| 1063039451 | Haleigh Stringer | Optometrist | 2905 New Hartford Rd, Owensboro, KY 42303-1323 | 2020-07-01 |
| 1063045284 | National Vision Inc | Optometrist | 10337 Dixie Hwy, Louisville, KY 40272-3951 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KEVIN SEAN JACOB.
| 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.