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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK JACOBS OD PA

Active Organization

MARK JACOBS OD PA is a Optometrist organization located in ARDEN, North Carolina. NPI 1114105608 is currently active in the NPPES registry. Verify at CMS.

Optometrist · ARDEN, NC

Registration Details

NPI Number
1114105608
Provider Type
Organization
NPI Issued
Feb 6, 2008 (18.50630081402 yrs)
Last Updated
Dec 11, 2020
License
NC1366 (NC)

Practice Information

Address
300 JULIAN LN
ARDEN, NC, 287047809
Browse NC providers · Browse ZIP 28704
Phone
8286502727
Fax
8286502725
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.