Jacob Family Eyecare, Llc

LBN: Jacob Family Eyecare, Llc
Jacob Family Eyecare, Llc is an health care organization with primary practice located at 20 Ferguson Blvd , Dry Ridge KY 41035-8635. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jacob Family Eyecare, Llc can be contacted via phone (859) 824-1333, or through Jacob, Kevin Sean via phone (859) 824-1333.

Contact Information

Primary practice address
20 Ferguson Blvd Dry Ridge KY 41035-8635
Phone: (859) 824-1333
Fax: (859) 824-1300
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Kevin Sean Doctor of Optometry (OD)
Phone: (859) 824-1333

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1458DT Kentucky
Eye and Vision Services Providers / Optometrist 152W00000X 1452DT Kentucky

Profile Details

NPI number 1841681400
LBN Legal business name Jacob Family Eyecare, Llc
DBA Doing business as
Authorized official Jacob, Kevin Sean Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2015
Last updated Feb 17th, 2015 - about 11 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 1841681400 NPPES
Kentucky MEDICAID 77001576
Kentucky MEDICAID 77001535

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