Most Relevant Information
Provider Data
| NPI Number: | 1003811761 |
| Provider Name: | DAVID A JACOBY DOCTOR OF OPTOMETRY |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1171-3 |
Most Important Dates
| Enumeration Date: | 06/17/2005 |
| Last Updated: | 02/23/2023 |
Provider Practice Location
131 W MARKET ST STE A
OSAGE CITY
KS
665231099
Practice Location Phone/Fax
| Phone: | 7855284136 |
| Fax: | 7855283422 |
Provider Mailing Location
PO BOX 258
OSAGE CITY
KS
665230258
Provider Mailing Phone/Fax
| Phone: | 7855284136 |
| Fax: | 7855283422 |