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JACOBS & CRABTREE DCTRS OF OPTOMETRY
NPI 1649475328
Optometrist - Corneal and Contact Management in Herrin, IL

Active since June 20, 2007
223 N PARK AVE, HERRIN, IL 62948(618) 942-6887(618) 988-1209 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacobs & Crabtree Dctrs Of Optometry NPPES

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

JACOBS & CRABTREE DCTRS OF OPTOMETRY (NPI 1649475328) is a healthcare organization registered as a corneal and contact management in Herrin, Illinois and active in the NPI registry since June 2007. The organization lists Carolyn Sue Keller, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649475328
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NamePAUL C JACOBS TREVOR CRABTREE PTR
Location Address223 N PARK AVEHerrin, IL 62948-3149
Mailing Address1508 Sioux DrMarion, IL 62959-5200 · (618) 993-8787 · Fax (618) 997-6547
Phone(618) 942-6887
Fax(618) 988-1209
Organization SubpartNo
Authorized OfficialCarolyn Sue KellerOffice Manager · (618) 993-8787
Enumeration DateJune 20, 2007
Last NPPES UpdateDecember 17, 2014
✔ NPI 1649475328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in IL · 046-008310
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
223 N PARK AVE, Herrin, IL 62948
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Other Names 1

Doing Business AsJacobs & Crabtree Dctrs Of Optometry

Other Identifiers 2

Medicare NSC0709640001
Medicare PIN931260

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MR. PATRICK DAVID BROWN LCSW
Social Worker (Clinical)
223 N PARK AVE
HERRIN, IL 62948
Williamson County (618) 706-9050
TALITHA R MYERS LCSW
Social Worker (Clinical)
223 N PARK AVE
HERRIN, IL 62948
Williamson County (618) 706-9050

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 Paul C Jacobs Trevor Crabtree Ptr's NPI number?

The NPI number for Paul C Jacobs Trevor Crabtree Ptr is 1649475328. It was assigned to this organization in the NPPES registry on June 20, 2007. The provider is doing business as Jacobs & Crabtree Dctrs Of Optometry.

Where is Paul C Jacobs Trevor Crabtree Ptr located?

Paul C Jacobs Trevor Crabtree Ptr is located at 223 N Park Ave, Herrin, IL 62948. The listed phone number is (618) 942-6887.

What is Paul C Jacobs Trevor Crabtree Ptr's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for Paul C Jacobs Trevor Crabtree Ptr was last updated on December 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.