DR. Anisha Jacob, O.D

NPI #1265787998 in Forsyth, Illinois

Provider Information

NPI Number
1265787998
Entity Type
Individual
Name
DR. Anisha Jacob, O.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D
Enumeration Date
Jul 18, 2012
Last Updated
Jul 18, 2012

Practice Location

Address
106 EAST BARNETT AVE
ZIP Code
62535
Phone
(217) 877-7900

Specialties & Taxonomy Codes

Specialty
Optometrist

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