Mark Jacobs Od PA
NPI 1114105608ActiveOrganization· Optometrist· Arden, NC
Optometrist in Arden, North Carolina, registered in NPPES in February 2008. The authorized official on file is Mark E. Jacobs, OD, President Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114105608 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2008 |
| Last updated in NPPES | Dec 11, 2020 |
| Certified by provider | Dec 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | NC1366 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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