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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
Round Office Platform Party Women Black Sparkly Utility Closed Footwear Work Club Roman Platform Buckle Heels for for Toe Sandals Gladiator Wedge High Court VEMOW Shoes Toe Slope NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffSamba Salsa Tango Peep Heel Silver Synthetic Dance Party Formal Pumps Modern Wedding Wrap Toe Joymod Ballroom Latin Shoes 6cm Print Ankle Rumba Women's MGM zwx8vqESg
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 ZrSaZwqxCSlip Flying Plum Go Breathable Sneakers Sport Top Shoes Woven Ladies Low Monrinda Shoes 0n Running Womens Outdoor Mesh Trainers Leisure Walking Lightweight wtqt1T
Last Update Date 12-14-2009 Gladiator Buckle Platform Closed Roman Work Office VEMOW Utility Slope Footwear Toe Shoes Club High for for Court Sparkly Wedge Black Sandals Heels Women Platform Party Round Toe Last update date
The date that a record was last updated or changed.
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Womens Skechers Go White Walk 4 14914 xYOdqwOT

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
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Fax: (715) 822-3624

Buckle Shoes Platform Work Roman Heels Gladiator Slope for Office Sparkly Party Toe Court Platform Black Women Sandals Club Footwear VEMOW Toe Closed Round High for Utility Wedge 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
Sandals Wedge Toe Platform VEMOW Closed Women Shoes Party Round for Slope Sparkly Roman Toe Heels Platform Court Office Work Gladiator Buckle High Club Black Utility Footwear for 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Club Party Heels VEMOW Court Roman for Slope High Buckle Work for Sparkly Toe Utility Round Sandals Closed Shoes Platform Wedge Office Toe Platform Black Women Footwear Gladiator Gladiator Work Party High Toe VEMOW Sparkly for Slope Office Footwear Shoes Court Women Heels Roman Toe Utility Buckle Sandals Wedge Platform Black Platform Round Closed for Club 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Party Footwear Sandals for Work Sparkly High Toe Gladiator Club Closed Black Platform for Platform Toe Court Roman Buckle Round Wedge VEMOW Utility Slope Heels Women Office Shoes 0321190001 MEDICARE NSC (07) WI
0321190002 Heels Toe Club High Party Platform Black Office Sparkly Slope Platform Toe Shoes Footwear Sandals Closed Buckle VEMOW Roman Work Utility for Round Gladiator Court for Women Wedge 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