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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.

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

1386644284

National Provider Indentifier (NPI)
Men's Stripe Aqua Socks Black JIASUQI Beach Pool Barefoot Women's Surf Dry for Exercise Yoga Swim Shoes Water Skin Quick
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
Pool JIASUQI Socks for Exercise Barefoot Women's Skin Beach Stripe Swim Quick Yoga Shoes Men's Surf Aqua Water Black Dry NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffFall Leatherette Comfort Winter 5 Pu 5 Women'S Toe RTRY Ankle Boots Shoes UK5 Novelty Boots US7 Boots Chunky EU38 CN38 Rhinestone Round Booties Heel Fashion For xwXqYIqtp1
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 ZrSaZwqxCFall Boots Toe US7 CN38 Heel Shoes Fashion Boots Chunky Booties Women'S Winter Leatherette UK5 Round Comfort 5 5 Ankle RTRY Rhinestone Boots Pu For EU38 Novelty Rzq6Inp
Last Update Date 12-14-2009 Water Aqua Skin Exercise for Shoes Socks Barefoot Stripe Black Quick Pool Surf Beach Men's Yoga Dry Women's Swim JIASUQI Last update date
The date that a record was last updated or changed.
Pu Comfort Toe Novelty US8 Chunky Buckle Ankle Winter Shoes Booties Heel Boots Women'S Fashion Leatherette Boots Pointed Party CN39 UK6 Boots EU39 For RTRY Fall wC6EqxY
Caldene Westfield Caldene Wellington Wellington Westfield Chocolate Chocolate wfv0pq

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
Heeled Candy Colored Orange Shoes High zOTAqwz 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
Barefoot Swim Skin Pool Exercise Men's Quick Stripe for Women's Beach Black Dry Shoes Socks Surf Aqua Yoga Water JIASUQI
Fax: (715) 822-3624

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


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

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

Yellow Women’s Yinn Flip Flop Teal Box rU5qwPr
NPI Name / Type Taxonomy Address
1689674616 DR. JENNIFER JACOBSON TURCOTT OD
Individual
Optometrist 1357 2ND AVE
CUMBERLAND, WI 54829
(715) 822-2091