MR. Carl J Jacobsen SR., CERTIFIED OPTICIAN A

NPI #1447432125 in Jenkintown, Pennsylvania

Provider Information

NPI Number
1447432125
Entity Type
Individual
Name
MR. Carl J Jacobsen SR., CERTIFIED OPTICIAN A
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Ocularist
Credential
CERTIFIED OPTICIAN A
Enumeration Date
Dec 4, 2007
Last Updated
Dec 4, 2007

Practice Location

Address
715 WEST AVE
ZIP Code
19046-2710
Phone
(215) 884-7715

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OcularistOcularist

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