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DR. PAUL CHRISTOPHER JACOBS O.D. NPI 1255326500


NPI Information

NPI: 1255326500
Provider Name: DR. PAUL CHRISTOPHER JACOBS, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
1001 N BEADLE DR
SUITE 40
CARBONDALE, IL
ZIP 62901
Phone: (618) 529-4817
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DR. Paul Christopher Jacobs, O.D. is a corneal and contact management optometrist in Carbondale, IL with 45 years of experience. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Paul Christopher Jacobs, O.D. NPI is 1255326500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year:1979

The provider's business location address is:

1001 N BEADLE DR
SUITE 40
CARBONDALE, IL
ZIP 62901-018
Phone: (618) 529-4817
Fax: (618) 351-9024

The NPI 1255326500 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.

  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 8/9/2013.


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
1152WC0802XOptometristCorneal and Contact Management046007399ILLINOISYes

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
1410048999OTHERRAILROAD MEDICARE PTAN
2688833MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3688832MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4410002083OTHERRAILROAD MEDICARE PTAN
5T37858MEDICARE UPINILLINOIS

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: 5/5/2024

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.