MARK JACOBS OD PA (NPI# 1114105608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105608 |
| Entity Type | Organization |
| Organization Name | MARK JACOBS OD PA |
| Practice Address |
507 Greenville Blvd Se Greenville NC 27858-6756 |
| Practice Telephone | 2525580289 |
| Practice Fax Number | 2524390000 |
| Mailing Telephone | 2525580289 |
| Mailing Fax Number | 2524390000 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DR. MARK E JACOBS (PRESIDENT OPTOMETRIST) |
| Authorized Official Telephone | 2525580289 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NC1366 | NC | Eye and Vision Services Providers |
| Street Address |
507 GREENVILLE BLVD SE |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
| 1902204720 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 507 Greenville Blvd Se, Greenville, NC 27858-6736 | 2014-12-10 |
| 1780941773 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 507 Greenville Blvd Se, Greenville, NC 27858 | 2012-04-16 |
| 1083793160 | George Klein | Family Medicine | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-11-02 |
| 1881790517 | Healthnow, P.a. | Clinic/Center | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770135618 | Kirsten Weitzel Turrisi | Optometrist | 116 Regency Blvd, Greenville, NC 27834-4644 | 2019-07-11 |
| 1437616638 | Precision Eye Care, Johansens and Brown, LLC | Optometrist | 6243 White Horse Rd Ste 11-b, Greenville, SC 29611-3800 | 2019-02-23 |
| 1417427683 | South Carolina Physicians Eyecare Group, P.C. | Optometrist | 1139 Woodruff Rd Ste A, Greenville, SC 29607-4119 | 2018-11-30 |
| 1851874168 | Oneway Vision Associates Pa | Optometrist | 27 S Pleasantburg Dr Ste 120, Greenville, SC 29607-2575 | 2018-09-12 |
| 1497268189 | Pamela S. Sheffield, O.d. | Optometrist | 600 Putnam Pike Ste 3, Greenville, RI 02828-1487 | 2017-11-16 |
| 1710335120 | Danielle Woodbridge | Optometrist | 307 S Franklin St, Greenville, MI 48838-1759 | 2016-05-25 |
| 1518314418 | Metras and Associates LLC | Optometrist | 203 Pine Spring Ct, Greenville, SC 29609-1564 | 2016-05-20 |
| 1649655093 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1617 Wade Hampton Blvd, Greenville, SC 29609-5049 | 2015-07-28 |
| 1235537762 | Daniel & Max, LLC | Optometrist | 1139 Woodruff Rd, Suite A, Greenville, SC 29607-4119 | 2014-12-16 |
| 1639415391 | Steve Metras | Optometrist | 2541 N Pleasantburg Dr, Suite R, Greenville, SC 29609-2728 | 2012-12-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.