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Deactivated NPI 1265562243 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Rubin Jacobs , OD

Optometrist • Mclean, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date February 18, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jacobs, OD was a registered Optometrist practicing in Mclean, VA. Throughout an active medical career spanning 15 years, Dr. Jacobs provided care at the practice location at 6849 OLD DOMINION DR until profile deactivation on 2022-02-18.

Historical Medicare Part B clinical services included exam to measure eye deviation and range of motion, eye training exercises, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6849 Old Dominion Dr
Suite 300

Mclean, VA 221013724

Telephone 7034420522
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mclean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
6 Specialists

Practicing in Mclean, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92060 Exam to measure eye deviation and range of motion
269 30 $81.18 $70.27
92065 Eye training exercises
265 25 $42.21 $41.83
92014 Established patient complete exam of visual system
11 11 $110.45 $110.00

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 1121

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1417079575

Doctor of Optometry

NPI 1942488549

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6849 OLD DOMINION DR, SUITE 300, MCLEAN, VA 221013724 (Tel: 7034420522)

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Updated Business Mailing Address July 08, 2007

Registered at 6849 OLD DOMINION DR, SUITE 300, MCLEAN, VA 221013724 (Tel: 7034420522)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT JACOBS, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #1121 in VA)

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Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265562243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 08, 2007
Deactivation Date: February 18, 2022

Mailing Address

6849 Old Dominion Dr, Suite 300

Mclean, VA 221013724

Phone: 7034420522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.