Gary J Jacobs, Od, Inc

LBN: Gary J Jacobs, Od, Inc
Gary J Jacobs, Od, Inc is an health care organization with primary practice located at 300 E Esplanade Dr Suite 560, Oxnard CA 93036-1238. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Gary J Jacobs, Od, Inc can be contacted via phone (805) 485-5831, or through Jacobs, Gary John via phone (805) 485-5831.

Contact Information

Primary practice address
300 E Esplanade Dr Suite 560 Oxnard CA 93036-1238
Phone: (805) 485-5831
Fax: (805) 485-5657
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Gary John Doctor of Optometry (OD)
Phone: (805) 485-5831

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6057 California

Profile Details

NPI number 1922298702
LBN Legal business name Gary J Jacobs, Od, Inc
DBA Doing business as
Authorized official Jacobs, Gary John Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Jul 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922298702 NPPES
California MEDICAID SD0060570

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