IndividualActive
Paul Jacobs, O.D.
NPI 1255326500 · Corneal and Contact Management Optometrist · Carbondale, IL
Provider details
- NPI number
- 1255326500
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 046007399 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1001 N Beadle Dr
Suite 40
Carbondale, IL 62901-1018
Phone: (618) 529-4817
Fax: (618) 351-9024
Approximate (ZIP-level) locationGet directions
Mailing address
1001 N Beadle Dr
Carbondale, IL 62901-1018
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2013-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.