DAVID A JACOBY OD CHARTERED
NPI 1043386287
Eyewear Supplier in Osage City, KS

Q: What is David A Jacoby Od Chartered's NPI number?

The NPI number for David A Jacoby Od Chartered is 1043386287. It was assigned to this organization in the NPPES registry on November 28, 2006.

Q: What is David A Jacoby Od Chartered's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since November 28, 2006

131 W MARKET ST STE A, OSAGE CITY, KS 66523(785) 528-4136(785) 528-3422 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2023, Oct 27, 2022, Jun 22, 2020 and 1 more (4 updates tracked since 2018).

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About David A Jacoby Od Chartered NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID A JACOBY OD CHARTERED (NPI 1043386287) is a healthcare organization registered as an eyewear supplier in Osage City, Kansas and active in the NPI registry since November 2006. The organization lists Jody Buller, President, as its authorized official.

NPPES Registry Identity

NPI1043386287

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NameDAVID A JACOBY OD CHARTERED

Location Address131 W MARKET ST STE AOsage City, KS 66523

Mailing Address131 W Market St Ste AOsage City, KS 66523-1099 · (620) 803-8616

Phone(785) 528-4136

Fax(785) 528-3422

Organization SubpartNo

Authorized OfficialJody BullerPresident · (620) 803-8616

Enumeration DateNovember 28, 2006

Last NPPES UpdateOctober 15, 20254 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1043386287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

License✔ Licensed in KS · 1171-3

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

131 W MARKET ST STE A, Osage City, KS 66523

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Other Identifiers 1

Medicaid30004700180001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., BlueCross BlueShield of Tennessee.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories David A. Jacoby, O.D., Chartered carries, from the Medicare DMEPOS supplier directory.

David A. Jacoby, O.D., Chartered

DMEPOS supplier · Osage City, KS

✔

Accepts Medicare assignment

David A. Jacoby, O.D., Chartered agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20677943

Medicare Participant SinceOctober 1, 1984

Supplier Location131 W Market St Ste AOsage City, KS 66523

Phone(785) 528-4136

Supplier Specialties

Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses

Conventional Eyeglasses

Prosthetic Lenses: Conventional Contact Lenses

Conventional Contact Lenses

Prosthetic Lenses: Prosthetics Cataract Lenses

Cataract Eyeglasses

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID A JACOBY DOCTOR OF OPTOMETRY

Optometrist

131 W MARKET ST STE A
OSAGE CITY, KS 66523

Osage County (785) 528-4136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David A Jacoby Od Chartered's NPI number?

The NPI number for David A Jacoby Od Chartered is 1043386287. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is David A Jacoby Od Chartered located?

David A Jacoby Od Chartered is located at 131 W Market St Ste A, Osage City, KS 66523. The listed phone number is (785) 528-4136.

What is David A Jacoby Od Chartered's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does David A Jacoby Od Chartered accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, David A. Jacoby, O.D., Chartered accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does David A Jacoby Od Chartered accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and BlueCross BlueShield of Tennessee list David A Jacoby Od Chartered as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David A Jacoby Od Chartered was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.