Dr. Jacob A Mooberry, OD
Optometrist in Spokane, Washington
1760096150- Practice location
- 9651 N Nevada St, Spokane, WA 99218-1132
- Phone
- 509-456-0107
- Fax
- 509-747-2635
- Last updated
- November 13, 2026
Jacob Andrew Mooberry is an Optometrist based in Spokane, WA. Jacob Andrew Mooberry practices in Spokane, WA and has the professional credentials of OD. The NPI Number for Jacob Andrew Mooberry is 1760096150 and holds a License No. OD61606134 (WA). The current practice location address for Jacob Andrew Mooberry is 9651 N Nevada St, Spokane, WA 99218-1132 and can be reached out via phone at 509-456-0107 and via fax at 509-747-2635.
Provider Profile Details
- NPI Number
- 1760096150
- Provider Name
- Jacob Andrew Mooberry
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 9651 N Nevada St, Spokane, WA 99218-1132
- Phone Number
- 509-456-0107
- Fax Number
- 509-747-2635
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 2, 2020
- Last Update Date
- November 13, 2026
- Certification Date
- November 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 9651 N Nevada St
Spokane, WA 99218-1132 - City
- Spokane
- State
- Washington
- Zip
- 99218-1132
- Phone Number
- 509-456-0107
- Fax Number
- 509-747-2635
Provider Business Mailing Address Details
- Address
- 420 Mountain Ave Fl 4
New Providence, NJ 07974-2736 - City
- New Providence
- State
- NJ
- Zip
- 07974-2736
- Phone Number
- 908-458-8333
- Fax Number
- 908-530-6522
License Information
- License Number
- OD61606134
- License State
- WA
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Spokane, WA
View all Optometrists in Spokane →Frequently Asked Questions
What is the NPI number of Dr. Jacob A Mooberry, OD?
The NPI number of Dr. Jacob A Mooberry, OD is 1760096150. It was assigned on September 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Jacob A Mooberry, OD?
Dr. Jacob A Mooberry, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in WA under license number OD61606134.
Where does Dr. Jacob A Mooberry, OD practice?
The practice location is 9651 N Nevada St, Spokane, WA 99218-1132. The office can be reached at 509-456-0107 (phone) or 509-747-2635 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760096150 directly on the NPPES registry website.