DR. BRUCE ROBERT JACOBSON M.D. NPI 1760467484

NPI Information

NPI: 1760467484
Provider Name: DR. BRUCE ROBERT JACOBSON, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
36100 EUCLID AVE
SUITE 450
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 946-9555
Get Directions

DR. Bruce Robert Jacobson, M.D. is an ophthalmology in Willoughby, OH. 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. DR. Bruce Robert Jacobson, M.D. NPI is 1760467484. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36100 EUCLID AVE
SUITE 450
WILLOUGHBY, OH
ZIP 44094-456
Phone: (440) 946-9555
Fax: (440) 946-2223

The enumeration date for this NPI number is 12/15/2005 and was last updated on 2/27/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		35048289	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0602351	MEDICAID	OHIO
2	A16054	MEDICARE UPIN	OHIO
3	0567051	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »