Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ETHEN, OD
Active Sole ProprietorJACOB ETHEN, OD is a Optometrist healthcare provider located in PAPILLION, Nebraska. NPI 1083307979 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PAPILLION, NE
Registration Details
- NPI Number
- 1083307979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2023 (3.1905550878436 yrs)
- Last Updated
- Jul 13, 2023
- License
-
1620 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
718 N WASHINGTON STPAPILLION, NE, 680463910Browse NE providers · Browse ZIP 68046
- Phone
- 4023395717
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PAPILLION, NE
| Name | Credential | NPI |
|---|---|---|
| DR. SARAH ELIZABETH DIERKS | OD | 1104054873 |
| STEPHANIE D DUFNER | O.D. | 1518272798 |
| DR. ANNA THOMPSON | O.D. | 1225326945 |
| MISS ANNA GOLDBERG | O.D. | 1962767236 |
| DEREK JASON WILLS | OD | 1588043616 |
| DR. LIANNA NG | O.D. | 1093164113 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.