DR. MARK A JACOBS O.D. NPI 1124023809

NPI Information

  • NPI: 1124023809
  • Provider Name: DR. MARK A JACOBS, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3810 S HIGHWAY 27
    SUITE 1
    SOMERSET, KY
    ZIP 42501
  • Phone: (606) 678-4551

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NPI Details

DR. Mark A Jacobs, O.D. is an optometrist in Somerset, KY with 36 years of experience. The provider is 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Mark A Jacobs, O.D. NPI is 1124023809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduation Year:1990

The provider's business location address is:

3810 S HIGHWAY 27
SUITE 1
SOMERSET, KY
ZIP 42501-073
Phone: (606) 678-4551
Fax: (606) 678-0972

The NPI 1124023809 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).

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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Established patient problem focused exam of visual system (HCPCS:92012)
  • New patient complete exam of visual system (HCPCS:92004)
  • Photography of the retina (HCPCS:92250)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of retina (HCPCS:92134)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 6/17/2005 and was last updated on 12/3/2019.

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
1152W00000XOptometrist1201DTKENTUCKYYes

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 Other Provider Identifier Issuer
17100209970MEDICAIDKENTUCKY
277012011MEDICAIDKENTUCKY
34599154MEDICAIDTENNESSEE
47100209960MEDICAIDKENTUCKY
5380000269OTHERKENTUCKYRAILROAD MEDICARE
600160523OTHERAMERIGROUP
7410028407OTHERKENTUCKYRAILROAD MEDICARE
8127554OTHERBCBSTN/BLUECARE/TENNCARE

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: 11/21/2025

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