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LAWRENCE MARC JACOBSON MD NPI 1184627465


NPI Information

NPI: 1184627465
Provider Name: LAWRENCE MARC JACOBSON, MD
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 33D2252097

Address:
40 PARK AVE
STE 4
NEW YORK, NY
ZIP 10016
Phone: (212) 981-9812
Get Directions

Lawrence Marc Jacobson, MD is an ophthalmology in New York, NY with 33 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Lawrence Marc Jacobson, MD NPI is 1184627465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

40 PARK AVE
STE 4
NEW YORK, NY
ZIP 10016-467
Phone: (212) 981-9812
Fax: (212) 981-9813

The NPI 1184627465 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2252097 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)

The enumeration date for this NPI number is 5/31/2005 and was last updated on 12/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology191576NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200312MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2G03715MEDICARE UPINNEW YORK
32003139571OTHERNEW YORKMEDICARE PTIN
4410A11OTHERNEW YORKEMPIRE BLUE CROSS BLUE SHIELD
501618395MEDICAIDNEW YORK
6410A13OTHERNEW YORKEMPIRE BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.