Jeffrey H Jacob (NPI# 1376634204, PAC ID# 0446420509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1376634204 |
| PAC ID by PECOS | 0446420509 |
| Professional Enrollment ID | I20110826000569 |
| Full Name | Jeffrey H Jacob |
| Organization Legal Name | JJ OPTICAL LLC |
| Address |
3819 Vaile Ave Florissant MO 63034-2227 |
| Phone Number | 3148383311 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3072781269 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3819 Vaile Ave, Florissant, MO 63034-2227 | 3148383311 | JJ OPTICAL LLC |
| 6756 Chippewa St, Saint Louis, MO 63109-2542 | 3143514991 | CHIPPEWA EYE CENTRE, INC. |
| Organization Legal Name | JJ OPTICAL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamal J Fox | Optometry | Jj Optical LLC | 3819 Vaile Ave, Florissant, MO 63034-2227 |
| Street Address |
3819 VAILE AVE |
| City | FLORISSANT |
| State | MO |
| Zip | 63034-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamal J Fox | Optometry | Jj Optical LLC | 3819 Vaile Ave, Florissant, MO 63034-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter A Carich | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 6768 N Hwy 67, The Valley, Florissant, MO 63034-2742 |
| City | FLORISSANT |
| Zip Code | 63034 |
| Specialty | OPTOMETRY |
| City + Specialty | FLORISSANT + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.