| Dr John Paul Jacobi, OD, FCOVD | |
|
32415 5 Mile Rd, Livonia, MI 48154-3039 | |
| (734) 525-8170 | |
| (734) 525-0726 |
| Full Name | Dr John Paul Jacobi |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Vision Therapy |
| Location | 32415 5 Mile Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437212560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WV0400X | Optometrist - Vision Therapy | 4901003208 (Michigan) | Primary |
| Provider Name | Aeg Michigan Professional Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053032912 PECOS PAC ID: 7113395864 Enrollment ID: O20221130001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Paul Jacobi, OD, FCOVD 32415 5 Mile Rd, Livonia, MI 48154-3039 Ph: (734) 525-8170 | Dr John Paul Jacobi, OD, FCOVD 32415 5 Mile Rd, Livonia, MI 48154-3039 Ph: (734) 525-8170 |
Omar Mallah, OD Optometrist Medicare: Medicare Enrolled Practice Location: 29474 7 Mile Rd, Livonia, MI 48152 Phone: 248-615-2815 | |
Dr. Alicia T Zimnicki, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 36300 Schoolcraft Rd, Livonia, MI 48150 Phone: 248-352-2806 Fax: 313-562-3000 | |
Dr. James S Engstrom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13700 Middlebelt Rd, Livonia, MI 48150 Phone: 734-427-2944 | |
Marston Optometry, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 32037 Plymouth Rd, Livonia, MI 48150 Phone: 734-421-5454 Fax: 734-421-6133 | |
Mr. Gerald N Blaize, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 33012 7 Mile Rd, Livonia, MI 48152 Phone: 248-482-2020 Fax: 248-476-6441 | |
K & K Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 28209 7 Mile Rd, Livonia, MI 48152 Phone: 248-777-2830 Fax: 248-777-9376 | |
Dr. Carol Lynn Marston-foucher, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 32037 Plymouth Rd, Livonia, MI 48150 Phone: 734-421-5454 Fax: 734-421-6133 |