DR. GARY M JACOBS (NPI# 1992772552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992772552 |
| Entity Type | Individual |
| Full Name | DR. GARY M JACOBS |
| Credential | MD |
| Practice Address |
681 Third Ave Chula Vista CA 91910-5703 |
| Practice Telephone | 6194202111 |
| Practice Fax Number | 6195858130 |
| Mailing Telephone | 6194202111 |
| Mailing Fax Number | 6195858130 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G41820 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0067510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808183 | Gary Jacobs | Home Health Aide | 1581 Clay Rd, Dorset, OH 44032-9722 | 2020-10-10 |
| 1679776033 | Gary Jacobs | Counselor | 940 Haight St, San Francisco, CA 94117-3107 | 2007-06-05 |
| 1760690135 | Gary Leonard Jacobs | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2007-05-18 |
| 1073681623 | Gary P Jacobs | Specialist | 14560 Magnolia St Ste 101, Westminster, CA 92683-4791 | 2006-12-01 |
| 1366406399 | Gary Jacobs | Optometrist | 684 Allen St, Syracuse, NY 13210-2664 | 2006-04-14 |
| 1285615963 | Gary Blayne Jacobs | Emergency Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2005-11-09 |
| 1407853732 | Gary R Jacobs | Surgery | 703 E Marshall Ave, #4008, Longview, TX 75601-5500 | 2005-07-01 |
| 1346675121 | Gary W. Jacobs | Social Worker | 11161 Kenwood Rd, Blue Ash, OH 45242-1817 | 2013-09-11 |
| 1417292277 | Gary J. Jacobs | Speech-Language Pathologist | 340 Falcon Ridge Pkwy, Building 500, Mesquite, NV 89027-8850 | 2012-12-05 |
| 1649404104 | Gary Jacobs | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2009-05-12 |
| Street Address |
681 THIRD AVE |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740596147 | Jessica Goldman | Optometrist | 681 Third Ave, Chula Vista, CA 91910 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427102979 | Manuel Puig-llano | Ophthalmology | 276 Church Ave Ste E, Chula Vista, CA 91910-2729 | 2007-01-22 |
| 1023117124 | Duane M Bryant | Ophthalmology | 342 F St, Chula Vista, CA 91910-2625 | 2006-09-22 |
| 1306872411 | Gayle C Howard | Ophthalmology | 681 3rd Ave, Chula Vista, CA 91910-5703 | 2006-06-23 |
| 1043261373 | Majid Mani | Ophthalmology | 835 Third Ave, Suite A, Chula Vista, CA 91911-1352 | 2006-05-12 |
| 1609868181 | Advanced Eye Care | Ophthalmology | 865 3rd Ave, Suite 121, Chula Vista, CA 91911-1300 | 2005-08-19 |
| 1346687233 | Alexander Zabaneh | Ophthalmology | 342 F St, Chula Vista, CA 91910-2625 | 2013-05-31 |
| 1609135623 | James Jacobson Peairs | Ophthalmology | 835 Third Ave Ste A, Chula Vista, CA 91911 | 2012-05-10 |
| 1790054393 | Georgios Papastergiou | Ophthalmology | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 | 2011-12-28 |
| 1033411061 | Patrick Sassani | Ophthalmology | 835 Third Ave Ste A, Chula Vista, CA 91911-1352 | 2010-11-24 |
| 1386961423 | Jason M Moss | Ophthalmology | 835 Third Ave, Suite A, Chula Vista, CA 91911-1352 | 2010-04-29 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.