OLIVIA JACOBS
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1790631885- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY, 402151181
- Phone
- (502) 364-0033
- Fax
- (502) 361-4488
Specialties & Taxonomies
Optometrist
Primary License: KY #2476DT
Optometrist
License: IN #18004681A