IndividualActive
Anisha Jacob, O.D
NPI 1265787998 · Optometrist · Forsyth, IL
Provider details
- NPI number
- 1265787998
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 046010568 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
106 East Barnett Ave
Forsyth, IL 62535
Phone: (217) 877-7900
Approximate (ZIP-level) locationGet directions
Mailing address
18920 Springfield Ave
Flossmoor, IL 60422-1072
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.