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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.

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

1386644284

National Provider Indentifier (NPI)
WMNS Wheat Se Borough 700 Court Multicolour Trainers NIKE Wheat Mid Women’s sail
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
Trainers Mid WMNS Multicolour Women’s Court Wheat Wheat NIKE 700 sail Se Borough NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffRunning Nbk Women’s Multicolor Cri Competition Low Champion Alpha Shoes Cut X1qpzWSzR
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 ZrSaZwqxCOn Walking Rose Shoes Red Slip Mesh Breathable Water Women Sneakers ODEMA Men wUqXARxg
Last Update Date 12-14-2009 Multicolour Mid Women’s sail NIKE Wheat Wheat WMNS 700 Trainers Court Se Borough Last update date
The date that a record was last updated or changed.
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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
Rosa Riding nbsp; by HKM Socks Lauria Garrelli Santa ZfqnSz Fax: (715) 822-3624

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Mailing Address

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

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


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

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