Jacob Carl Yates
Optometrist · Palm Coast, FL
Practice location
15 Cypress Branch Way Ste 205Palm Coast, FL 32164-8414
- Phone
- (386) 445-1880
NPI record
- NPI
- 1780412957
- Entity type
- Individual (Type 1)
- Enumeration date
- July 22, 2024
- Last updated
- December 19, 2024
- Certified
- December 19, 2024
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
OPC6592 | FL |
| Optometrist | 152W00000X |
2416DT | KY |
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
- Phone
- (703) 847-8899
About Jacob Yates
Jacob Carl Yates is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 15 Cypress Branch Way Ste 205, Palm Coast, FL 32164-8414. The NPI number 1780412957 was assigned on July 22, 2024 and the record was last updated on December 19, 2024.
Jacob Yates lists 2 licenses in the registry: #OPC6592 (FL) for Optometrist; #2416DT (KY) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jacob Carl Yates?
The NPI number is 1780412957.
What is the phone number of Jacob Yates?
The phone number listed for the practice location is (386) 445-1880.
Where is Jacob Yates located?
15 Cypress Branch Way Ste 205, Palm Coast, FL 32164-8414.
What is the taxonomy code for Jacob Yates?
The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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