National Provider Identifier Database

KEVIN JACOBS, OD – NPI #1801840657
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

KEVIN JACOBS, OD
1905 ABBOT RD STE 1
EAST LANSING, MI48823-8571
Phone: 517-580-8733
Fax: 517-337-1854
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X
Pediatrics 152WP0200X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for KEVIN JACOBS

NPI Number 1801840657
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/19/2006
Last updated 01/12/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4901004013
  • MI Medicaid: 86-4792288
  • MI Medicaid: 94-4318770
  • MI Other: 900C313100 BCBS
  • MI Other: 1019456 MCLAREN
  • MI Other: 22-70122 PHP-MEDICAID
  • MI Other: 22-00122 PHYSICANS HEALTH PLAN-PHP
Hospital affiliation n/a

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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