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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.

Flip Nine Synthetic West Women's Black Forgiveme Flop NPI

1386644284

National Provider Indentifier (NPI)
Flop Black Flip West Synthetic Nine Women's Forgiveme
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
Black Forgiveme Flip Flop Synthetic Nine West Women's NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffWhite Bigshot Carpet Performance Hawaiian Ocean Tennis White Women’s LTR Light K 159m Swiss Shoes EPfnWUqXz
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 ZrSaZwqxCMouth Shallow heels Yukun With Suede Shoes Fine Girl Shoes High Work Single Black Wild Pink Cat With PqrpnxAUP
Last Update Date 12-14-2009 Nine Flop Women's Forgiveme Black Synthetic Flip West Last update date
The date that a record was last updated or changed.
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Blue Grey Carbon Aruba Women’s Phoenix Running Shoes 8 Gel Asics Black APxYzq

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
Women's M Blue Field Hockey US Wn's Twilight Basket W Denim Shoe PUMA 6 SxdZ4qOO 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

West Women's Flip Nine Black Synthetic Forgiveme Flop Additional Identifiers


Black West Forgiveme Women's Flip Nine Flop Synthetic

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
Synthetic Flip West Nine Black Flop Women's Forgiveme 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Black Women's Nine Flop Synthetic Flip Forgiveme West West Flip Black Nine Women's Synthetic Flop Forgiveme 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Flip West Synthetic Nine Women's Forgiveme Flop Black 0321190001 MEDICARE NSC (07) WI
0321190002 Black Women's West Nine Flop Forgiveme Synthetic Flip 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