National Provider Identifier

Mark Steven Jacobson, M.D.

Mark Steven Jacobson, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Rochester, NY and a listed phone number of (585) 232-2560.

NPI 1598772378Rochester, NYOphthalmology Physician

Profile Overview

NPI
1598772378
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
August 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 30 N Union St
  • Suite 101
  • Rochester, NY 14607-1345

Phone: (585) 232-2560

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1598772378
Entity Type
Individual
Last Name
Jacobson
First Name
Mark
Middle Name
Steven
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
30 N Union St
Mailing Address Line 2
Suite 101
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14607-1345
Mailing Country
US
Mailing Phone
(585) 232-2560
Mailing Fax
(585) 232-6446
Practice Street Address
30 N Union St
Practice Address Line 2
Suite 101
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-1345
Practice Country
US
Practice Phone
(585) 232-2560
Practice Fax
(585) 232-6446
Enumeration Date
August 02, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)
Other Identifiers
0308 (NY, Excellus Blue Shield), 10102CR (NY, Preferred Care), 4303445 (NY, Aetna), 01735840 (NY)