| Doctor Name: | DR. EDWARD R JACOBS |
| NPI Number: | 1134183726 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OD |
| License Number: | 181 |
| Business Practice Address: | 999 Riverview Drive Ste 203 Totowa, NJ - 07512 |
| Business Phone Number: | 9737854499 |
| Business Fax Number: | 9737854699 |
| Mailing Address: | 999 Riverview Drive, Ste 203 TOTOWA |
| State: | NJ |
| Postal Code: | 07512 |
| Phone Number: | 9737854499 |
| Fax Number: | 9737854699 |
| NPI Enumeration Date: | 04/12/2006 |
| NPI Last Update Date: | 11/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | 181 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |