Paul Jacobs, O.D

NPI 1255326500 · on the registry since 2005

Practice

Address: 1001 N Beadle Dr
Suite 40
Carbondale, IL 62901
Phone: (618) 529-4817
Fax: (618) 351-9024
Organisation at this address: Crabtree And Merriman Dctrs Of Optometry
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 152WC0802X
152WC0802X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois