MR. CARL J JACOBSEN SR. (NPI# 1447432125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447432125 |
| Entity Type | Individual |
| Full Name | MR. CARL J JACOBSEN SR. |
| Credential | CERTIFIED OPTICIAN A |
| Practice Address |
715 West Ave Jenkintown PA 19046-2710 |
| Practice Telephone | 2158847715 |
| Practice Fax Number | 2158847715 |
| Mailing Telephone | 2158847715 |
| Mailing Fax Number | 2158847920 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PROVIDER NUMBER | 0743370001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003941766 | Carl H. Jacobsen | Optometrist | 200 Minor Hall, Uc Berkeley, Berkeley, CA 94720-2020 | 2007-02-22 |
| Street Address |
715 WEST AVE |
| City | JENKINTOWN |
| State | PA |
| Zip Code | 19046-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279061 | Yves Rose Josselin | In Home Supportive Care | 610 Old Yord Road, Suite 400, Jenkintown, PA 19046 | 2019-05-06 |
| 1942790498 | Elizabeth Collins Cook | Counselor | 501 Old York Rd Unit 4, Jenkintown, PA 19046 | 2018-05-10 |
| 1013407568 | Samuel Albert | Counselor | 501 York Rd Unit 4 Renew Family Services LLC, Jenkintown, PA 19046 | 2018-05-10 |
| 1275050841 | Khristina Tylo | Home Health Aide | 1653 The Fairway St, Jenkintown, PA 19046 | 2017-08-24 |
| 1073053898 | Jennifer Nicole Romania | Physician Assistant | 500 Old York Road, Suite 201, Jenkintown, PA 19046 | 2017-02-27 |
| 1790159648 | Crystina Kaylin Cave | Physician Assistant | Holy Redeemer Hospital, 1648 Huntingdon Pike, Huntingdon Valley, PA 19046 | 2015-11-16 |
| 1790112225 | Jerry H Herman | Obstetrics & Gynecology | 906 Frog Hollow Terrace, Rydal, PA 19046 | 2013-09-30 |
| 1861828774 | Christopher T Flood | Physical Therapist | 676 Old York Road, Jenkintown, PA 19046 | 2013-09-24 |
| 1013251420 | Ann K Lodovichetti | Physical Medicine & Rehabilitation | 1616 Hungtindon Pike, Meadowbrook, PA 19046 | 2012-11-26 |
| 1689941916 | Sandra H. Kosmin | Social Worker | 114 Forrest Avenue, Suite 2, Narberth, PA 19046 | 2011-12-01 |
| Find all providers in zip 19046 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946323 | Le Grand Associates | Technician/Technologist | 101 Greenwood Ave Ste 623, Jenkintown, PA 19046-2651 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164739686 | David C Hernandez | Technician/Technologist | 637 Philadelphia St, Suite 311, Indiana, PA 15701-1869 | 2010-09-03 |
| 1619279296 | Dh Ocular Prosthetics LLC | Technician/Technologist | 637 Philadelphia St, Suite 311, Indiana, PA 15701-3919 | 2010-12-02 |
| 1023294402 | John J. Kelley Assoc., Ltd | Technician/Technologist | 1528 Walnut St, Suite 1801, Philadelphia, PA 19102-3604 | 2008-01-15 |
| 1538374848 | Joseph A Legrand | Technician/Technologist | 1601 Walnut St, Suite 616, Philadelphia, PA 19102-2944 | 2007-05-11 |
| 1922166925 | E&j Optics Inc | Technician/Technologist | 4000 Vine St, Middletown, PA 17057-3565 | 2006-12-04 |
| City | JENKINTOWN |
| Zip Code | 19046 |
Please comment or provide details below to improve the information on MR. CARL J JACOBSEN SR..
| 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.