DR. Jacob B List, OD

NPI #1326140336 in Oswego, New York

Provider Information

NPI Number: 1326140336
Entity Type: Individual
Name: DR. Jacob B List, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 1, 2006
Last Updated: Nov 6, 2007

Practice Location

Address: 140 STATE ROUTE 104
Address 2: OSWEGO PLAZA EMPIRE VISION CENTERS
City: Oswego
State: New York
ZIP Code: 13126
Phone: (315) 342-0727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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