Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Sean Jacob, OD

Individual provider Optometrist · NPI 1124173521

Dr. Kevin Sean Jacob, OD is an Optometry in Dry Ridge, Kentucky. Graduated from Indiana University - School of Optometry in 1997, 29 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
29
Trained at
Indiana University - School of Optometry
Licensed in
KY
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

20 Ferguson Blvd
Dry Ridge, KY 41035-8635
Phone: (859) 824-1333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Heights Blvd, Florence, KY 41042-1415 — (859) 568-7015

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1458DT (KY)

Record details

NPI number1124173521
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 24, 2007
Last updated in NPPESNovember 4, 2019
Mailing address9100 Brantley Way, Florence, KY 41042-8684

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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