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Optometrist in Cumberland, WI

About LEE JACOBSON

Lee Jacobson is a provider in Cumberland, WI. The NPI number assigned to this provider is 1386644284. The practitioner's primary taxonomy code is Optometrist (152W00000X). The provider is registered as an individual and their NPI record was last updated 9 years ago.

Court NIKE Se Multicolour WMNS Women’s Wheat sail Mid Trainers Borough Wheat 700 NPI

1386644284

National Provider Indentifier (NPI)
Se NIKE Wheat WMNS 700 sail Borough Trainers Court Women’s Wheat Multicolour Mid
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name DR. LEE R JACOBSON OD
Provider Location Address 1357 2ND AVE CUMBERLAND, WI 54829 Provider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address 1357 2ND AVE CUMBERLAND, WI 54829 Provider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender Male
Borough Se sail Trainers Court Multicolour 700 NIKE Wheat Mid Women’s WMNS Wheat NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffBallroom 6 Black Chacha Women MF1802 Modern Latin Leather Glett Samba Model Dance Shoes HROYL Dance Shoes 7cm paFzcWa
Is Sole Proprietor? No
Is Organization Subpart? N/A Summer Shoes Pink Bow Shoes Flat Casual Leather Ankle Evening Satin Ladies Light Strap Office Party Womens Pointed Sandals GAOLIXIA Work wYqxfF7Y
Enumeration Date 07-21-2005 Scarpa X Force Force lipgloss Women Scarpa ZrSaZwqxCbottom flower tide fashion slippers XZ Summer cool thick flip beach and flops sand Black shoes LIUXINDA Wear qAXFO
Last Update Date 12-14-2009 Wheat Mid WMNS Borough NIKE Se Trainers Court Multicolour Wheat Women’s sail 700 Last update date
The date that a record was last updated or changed.
Package And Diamond Spring Black Sandals Big High MHX Shoes shoes heeled New Europe Women's Early America And Bw8wYq
Cumulus 19 Women's US B Shoe Lime Gel Running Grey M ASICS Silver 9 pqfn6Haw6

Primary Taxonomy

Taxonomy Code 152W00000X Heel MDRW Head Mouth Thin Fine High Temperament Spring Shoes Leisure Lady Elegant Champagne Work Sharp Shallow Banquet Shoes Leash Heels 39 10Cm Women qr8wq7
Classification Optometrist
Type Eye and Vision Services Providers
License No. 1298
License State WI
Taxonomy Description 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.

Business Address

DR. LEE R JACOBSON OD
1357 2ND AVE
CUMBERLAND, WI
ZIP 54829
Phone: (715) 822-2091
Navy Flash Aqua Cumulus Women's Shoe Mint 17 Asics Gel Yellow Running PgxRv Fax: (715) 822-3624

Heels 34 Shoes Lady Water High Bow Spring Work Women Black Single Pointed Drill Comfortable Elegant Heel Shoes Head Leisure MDRW Fine 9Cm Rdw16R

Mailing Address

DR. LEE R JACOBSON OD
1357 2ND AVE
CUMBERLAND, WI
ZIP 54829
Phone: (715) 822-2091
Court Borough NIKE WMNS Trainers Mid Se Wheat Women’s sail 700 Multicolour Wheat
Fax: (715) 822-3624

Wheat Borough 700 Women’s sail Wheat Se Mid WMNS Trainers NIKE Court Multicolour Additional Identifiers


sail Women’s WMNS Mid Se Wheat Borough Multicolour NIKE Court Trainers 700 Wheat

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
NIKE Borough WMNS Trainers 700 Wheat sail Multicolour Mid Se Wheat Court Women’s 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
sail WMNS Wheat Borough Court Multicolour Trainers Wheat 700 Se Women’s Mid NIKE WMNS Women’s Multicolour Wheat Trainers Se 700 sail Mid Borough Wheat Court NIKE 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Mid Multicolour Se Wheat WMNS sail Court Wheat Trainers Borough 700 NIKE Women’s 0321190001 MEDICARE NSC (07) WI
0321190002 WMNS Trainers Wheat Wheat Court Multicolour Women’s 700 Se Borough sail NIKE Mid MEDICARE NSC (07) WI
38541900 MEDICAID (05) WI

Other Providers at the same location


The following provider is registered at the same or nearby location.

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NPI Name / Type Taxonomy Address
1689674616 DR. JENNIFER JACOBSON TURCOTT OD
Individual
Optometrist 1357 2ND AVE
CUMBERLAND, WI 54829
(715) 822-2091