| NPI | 1952518748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P JACOBI O PT Ometrist 734-525-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901003208) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901004024) |
| 152W00000X Optometrist (Licence: MI 4901003184) | |
| 152W00000X Optometrist (Licence: MI 4901004851) | |
| 152WL0500X Optometrist Low Vision Rehabilitation (Licence: MI 4901003184) | |
| 152WV0400X Optometrist Vision Therapy (Licence: MI 4901003208) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-03-22 |