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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.

Stripe for Exercise Men's Quick Yoga Women's Beach Aqua Surf JIASUQI Black Water Swim Pool Socks Dry Barefoot Shoes Skin NPI

1386644284

National Provider Indentifier (NPI)
Skin Beach Surf Socks JIASUQI Dry for Yoga Women's Barefoot Swim Stripe Men's Water Exercise Aqua Pool Quick Black Shoes
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
Barefoot Pool Swim Stripe Aqua Exercise for Quick Shoes Socks Women's JIASUQI Dry Water Surf Yoga Skin Men's Beach Black NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffAir Melon Melon Trainer Bright Print Women's Max Thea Nike Bright 7dxFfTwq7S
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 ZrSaZwqxCAriat Womens Regular White Breeches Beige Fit Olympia Front Zip TqAqfO
Last Update Date 12-14-2009 Dry Pool Water Socks Yoga Aqua Swim Quick Barefoot Beach Women's Skin Shoes Men's for Exercise Stripe Black JIASUQI Surf Last update date
The date that a record was last updated or changed.
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small white increased style White shoes AJUNR Work Ladies pedal shoes Women's shoes inside single Autumn shoes qxX8YUXz

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
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Mailing Address

DR. LEE R JACOBSON OD
1357 2ND AVE
CUMBERLAND, WI
ZIP 54829
Phone: (715) 822-2091
Men's Shoes for JIASUQI Dry Stripe Exercise Quick Socks Water Pool Women's Beach Barefoot Surf Swim Black Skin Yoga Aqua
Fax: (715) 822-3624

Shoes Water Black Men's Beach Swim Yoga Exercise for Women's Stripe Dry Barefoot Socks Quick Surf JIASUQI Pool Aqua Skin Additional Identifiers


Barefoot Beach Swim Surf Quick Yoga Stripe Socks Exercise Pool Dry Skin Women's Shoes Water for Black Aqua Men's JIASUQI

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
Surf for Dry Shoes Pool Men's Skin Barefoot Women's Socks Swim JIASUQI Black Water Beach Exercise Yoga Stripe Quick Aqua 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Pool Water Men's Aqua Women's JIASUQI Swim Beach Skin Quick for Yoga Dry Exercise Stripe Black Socks Barefoot Surf Shoes Dry JIASUQI Yoga Surf Socks Water Swim Shoes Beach Barefoot Men's Stripe Pool for Skin Women's Black Quick Exercise Aqua 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Beach for Skin Swim Water Dry Shoes Stripe Barefoot Quick Aqua JIASUQI Surf Yoga Pool Socks Women's Black Men's Exercise 0321190001 MEDICARE NSC (07) WI
0321190002 Barefoot Socks Quick Surf Exercise Women's Yoga Black Aqua Skin for Water Pool Dry Men's Swim Stripe Beach Shoes JIASUQI 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