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Contact Information

STACIA M JACOBI GARCIA, OD
7110 WYOMING BLVD NE
ALBUQUERQUE, NM87109-4867
 Phone: 505-883-8111
 Fax: 505-888-8942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for STACIA M JACOBI GARCIA · (Female)

NPI Number 1376609636
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/29/2006
Last updated 06/02/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 2562
  • NM Other 55144 DAVIS VISION
  • NM Other 222198 EYEMED COLE SUPERIOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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