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David A Jacoby Od Chartered
Eyewear Supplier in Osage City, Kansas
NPI 1043386287

David A Jacoby Od Chartered is a Eyewear Supplier based in Osage City, KS. David A Jacoby Od Chartered practices in Osage City, KS. The NPI Number for David A Jacoby Od Chartered is 1043386287 and holds a License No. 1171-3 (Kansas).

The current practice location address for David A Jacoby Od Chartered is 131 W Market St Ste A, Osage City, KS and can be reached out via phone at 785-528-4136 and via fax at 785-528-3422.

Location: 131 W Market St Ste A, Osage City, KS, 66523-0258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043386287
Provider Name
David A Jacoby Od Chartered
Credential
Provider Entity Type
Organization
Address
131 W Market St Ste A, Osage City, KS, 66523-0258
Phone Number
785-528-4136
Fax Number
785-528-3422
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30004700180001 05 KS
institution
Provider Business Practice Location Address Details
Address
131 W Market St Ste A
City
Osage City
State
Kansas
Zip
66523
Phone Number
785-528-4136
Fax Number
785-528-3422
person
Provider Business Mailing Address Details
Address
131 W Market St Ste A
City
Osage City
State
Kansas
Zip
66523
Phone Number
785-528-4136
Fax Number
785-528-3422
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
1171-3 (Kansas)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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