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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
6 In Mica Nike White Platinum Pure Wmns TR Blue Season Women's Grey NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffShoes High heeled Court shoes shoes Pumps evening casual Thick white Pink PU nurse Heels shoes Sandals HUAIHAIZ shoes women high XqpwFF
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 ZrSaZwqxCGlitter Toe Dance Heel Heel X Strap Closed Shoes PU 6cm Red Leather strap Womens Tango Ballroom T MINITOO Latin QJ6133 Salsa High tq8ffS
Last Update Date 12-14-2009 Mica Season Pure Blue Women's TR Wmns Grey Nike In White 6 Platinum Last update date
The date that a record was last updated or changed.
Color Soles Peas FALAIDUO Casual Blue Round Imitation Flat Non Leather Solid Head Candy Women's Shoes Shoes Color Lazy Slip Shoes 6qzrwn6pC
Navy Havaianas Flip Navy Flop Men's Power 8wA7v

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
Green Women's Up Aqua MBT Lace Blue Flats Y4qx7fwO 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

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