DR. Jacob A Ivey, OD

NPI #1508885369 in Louisville, Mississippi

Provider Information

NPI Number: 1508885369
Entity Type: Individual
Name: DR. Jacob A Ivey, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 19, 2006
Last Updated: Apr 12, 2022

Practice Location

Address: 14994 W MAIN ST
City: Louisville
State: Mississippi
ZIP Code: 39339-2616
Phone: (662) 773-3494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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