Mark Jacobs OD PA
NPI 1114105608 · Optometrist · Arden, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Jacobs OD PA is a Optometrist organization in Arden, NC (NPI 1114105608).
Provider details
- NPI number
- 1114105608
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mark Jacobs, President Optometrist(828) 650-2727
- License
- NC1366 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2020-12-11
- Certified
- 2020-12-07
Frequently asked questions
- What is Mark Jacobs OD PA's NPI number?
- Mark Jacobs OD PA's National Provider Identifier (NPI) is 1114105608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark Jacobs OD PA?
- Mark Jacobs OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Mark Jacobs OD PA located?
- Mark Jacobs OD PA's practice location on file with NPPES is 300 Julian Ln, Arden, NC 28704-7809.
- What is Mark Jacobs OD PA's phone number?
- The practice phone number listed in the NPPES registry for Mark Jacobs OD PA is (828) 650-2727.
- Does Mark Jacobs OD PA accept Medicare?
- Mark Jacobs OD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mark Jacobs OD PA?
- The authorized official listed on Mark Jacobs OD PA's NPPES record is Mark Jacobs, President Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark Jacobs OD PA's NPI active?
- Yes — Mark Jacobs OD PA's NPI (1114105608) is active in the NPPES registry as of the last update on 2020-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.