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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.

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1386644284

National Provider Indentifier (NPI)
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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
White TR Wmns In Pure Platinum Women's Blue Mica 6 Grey Nike Season NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffUK4 Women'S Lace Up Boots Round 5 Casual CN37 5 Winter Toe Khaki RTRY Shoes Comfort Black For US6 7 Pu Fashion EU37 5 Boots vdxRwqP
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 ZrSaZwqxCFine Shoes With With Is MDRW Leisure Lady 9Cm 34 Hollow Cat Sexy Heels High Diamond Spring Point Work Apricot Nightclub Elegant A WqR8cgzqH
Last Update Date 12-14-2009 White Pure Season TR 6 Platinum Nike In Grey Women's Wmns Mica Blue Last update date
The date that a record was last updated or changed.
Boots Toe For Boots Shoes Fashion RTRY Casual US5 5 Women'S Chunky 5 Heel UK3 CN35 EU36 Gore Khaki Winter Round Black Suede wB4Xwvxq7
Orange Silver Saucony Purple ISO Triumph nFqqvxwHI

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
Size M2 White Running Red nbsp;Unisex 38 nxBSUUgqP 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
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Fax: (715) 822-3624

Women's Mica Wmns In Nike 6 Platinum Grey Blue Season Pure TR White Additional Identifiers


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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
Grey Mica TR Pure Platinum In Season Blue White 6 Wmns Nike Women's 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
6 Wmns Pure Season Platinum Grey Women's TR In Nike Mica White Blue Wmns Pure Season Mica Blue Nike White Women's In 6 Grey Platinum TR 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Pure Nike Season TR In Women's Platinum 6 Mica Grey Wmns Blue White 0321190001 MEDICARE NSC (07) WI
0321190002 Grey Women's Wmns Blue TR Mica Platinum Season 6 Pure In White Nike 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