DR. KEVIN JACOBS (NPI# 1801840657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801840657 |
| Entity Type | Individual |
| Full Name | DR. KEVIN JACOBS |
| Credential | O.D. |
| Practice Address |
1905 Abbot Rd Ste 1 East Lansing MI 48823-8571 |
| Practice Telephone | 5175808733 |
| Practice Fax Number | 5173371854 |
| Mailing Telephone | 5175808733 |
| Mailing Fax Number | 5173371854 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004013 | MI | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
4901004013 | MI | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
4901004013 | MI | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
4901004013 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 94-4318770 | 05 | |
| MI | PHP-MEDICAID | 22-70122 | 01 |
| MI | MCLAREN | 1019456 | 01 |
| MI | 86-4792288 | 05 | |
| MI | BCBS | 900C313100 | 01 |
| MI | PHYSICANS HEALTH PLAN-PHP | 22-00122 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 139 W Lake Lansing Rd, Suite 115, East Lansing, MI 488238525 | 5173371832 | 5173371854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326430430 | Kevin Jacobs | Reflexologist | 6713 Broadway St Ste F, Pearland, TX 77581-5768 | 2015-02-26 |
| 1699740621 | Kevin Wayne Jacobs | Nurse Anesthetist, Certified Registered | 720 West Central, El Dorado, KS 67042 | 2006-02-22 |
| 1245672963 | Kevin Jacobs | Social Worker | 2140 E Ellsworth Rd, Ann Arbor, MI 48108-2552 | 2013-07-23 |
| 1194751065 | Kevin J. Jacobs | Physical Therapist | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2006-06-23 |
| Street Address |
1905 ABBOT RD STE 1 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-8571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336602911 | Zenvision LLC | Optometrist | 1905 Abbot Rd Ste 1, East Lansing, MI 48823-8571 | 2019-04-10 |
| 1851700520 | Tamara | Psychologist | 1905 Abbot Rd Ste 1, East Lansing, MI 48823-8571 | 2014-08-07 |
| 1942440532 | Debra L Strong | Counselor | 1905 Abbot Rd Ste 1, East Lansing, MI 48823-8571 | 2009-02-23 |
| 1124140017 | Byrne Craig Smith | Psychologist | 1905 Abbot Rd Ste 1, East Lansing, MI 48823-8571 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| 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 |
|---|---|---|---|---|
| 1447411228 | Pinnacle Eyecare, P.C. | Optometrist | 139 W Lake Lansing Rd Ste 115, East Lansing, MI 48823-8525 | 2008-06-24 |
| 1730237579 | Stephen P Thompson | Optometrist | 2200 Coolidge Rd, #15, East Lansing, MI 48823-1363 | 2007-01-08 |
| 1376588954 | Visioncare Associates PC | Optometrist | 330 W Lake Lansing Rd, East Lansing, MI 48823-8527 | 2006-06-18 |
| 1215990114 | Richard J. Sims | Optometrist | 2900 Hannah Blvd, Suite 106, East Lansing, MI 48823-5384 | 2006-04-11 |
| 1962485342 | Lansing Ophthalmology, P.C. | Optometrist | 2001 Coolidge Rd, East Lansing, MI 48823-1378 | 2005-11-21 |
| 1013918069 | James E. Budge | Optometrist | 702 West Lake Lansing Road, East Lansing, MI 48823 | 2005-08-02 |
| 1336602911 | Zenvision LLC | Optometrist | 1905 Abbot Rd Ste 1, East Lansing, MI 48823-8571 | 2019-04-10 |
| 1629423082 | Thompson Eye Care Pllc | Optometrist | 2200 Coolidge Rd, Ste #15, East Lansing, MI 48823-1363 | 2016-05-04 |
| 1407232879 | Andrew Steven White | Optometrist | 310 W Lake Lansing Rd, East Lansing, MI 48823-1438 | 2015-08-07 |
| 1447660808 | Norton Eye Care Pllc | Optometrist | 4660 S Hagadorn Rd, East Lansing, MI 48823-5376 | 2014-05-06 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.