JAMES WYNN JACOBSM.D. NPI 1730367483

NPI Information

JAMES WYNN JACOBS,M.D. is an eyewear supplier in Guntersville, AL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JAMES WYNN JACOBS,M.D. NPI is 1730367483. The provider is registered as an organization entity type.
The provider Other Name Is The Optical Shop.

The provider's business location address is:

1436 GUNTER AVE
GUNTERSVILLE, AL
ZIP 35976-846
Phone: (256) 582-1211
Fax: (256) 582-2522

The provider's authorized official is James Wynn Jacobs .
The authorized official title is Proprietor and has the following contact phone number (256) 582-1211.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 10/6/2008.

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:

Other Identifiers

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

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