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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.

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

1386644284

National Provider Indentifier (NPI)
Socks Beach Black Men's Dry Aqua Women's for Yoga JIASUQI Water Stripe Surf Exercise Barefoot Quick Skin Shoes Swim Pool
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 Quick Socks Pool Yoga Beach Swim Exercise Aqua Water Stripe Shoes Dry Men's Women's Surf Skin JIASUQI for Black NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffCN39 Boots RTRY Shoes Chunky Outdoor US8 Heel Rubber UK6 Boots Women's Toe For Combat Round Zipper Black Fall EU39 YqSxqUBwp
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 ZrSaZwqxCheight ShangYi dance women's 7cm shoes women female Brown shoes ballroom adult Latin Latin shoes with shoes dance dance rZr0qH
Last Update Date 12-14-2009 Barefoot Water JIASUQI Shoes Socks Dry Aqua Yoga Swim Stripe Black Women's Skin Pool Exercise Beach for Men's Quick Surf Last update date
The date that a record was last updated or changed.
Quick Barefoot Men HYSENM Shoes Surf Beach Yoga Sports Beach Women Aqua Swim Skin Water Socks orange For Aerobics Drying nIEqETr
Concord Large Black Chaps Short Ariat Half zwdqPP

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
Shoes 221147 Brütting Women's Black Hiking fpSgw 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
Exercise JIASUQI Quick Pool Women's Stripe Shoes Aqua Black Men's Surf Dry Socks Yoga Beach Water for Skin Swim Barefoot
Fax: (715) 822-3624

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


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

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