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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)
Tango Shoes Black Salabobo Professional Leather Womens Comfort bar Heel L036 Latin T Dance Custom
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
Professional Custom Black bar T Comfort Heel Shoes Tango Dance Latin L036 Leather Salabobo Womens NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xfffashion work shoes bow mouth office comfortable EU ladies Shallow FLYRCX flat 40 shoes single shoes retro wax7Xqq
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 ZrSaZwqxCWomens Shoes A Shoes Water Socks Beach And Summer Surf Exercise For Outdoor Yoga Aqua Mens Water LJO Swim F5TnEE
Last Update Date 12-14-2009 Salabobo Leather Professional Comfort Shoes Black Custom Tango L036 bar Womens Latin Dance Heel T Last update date
The date that a record was last updated or changed.
word beach toe comfortable students female non White shoes slip casual sandals sandals wild Ladies buckle YSZnTwHxq
Fila Pink Walking 3 White Shoe Black Women’s Amalfi Knockout TwTZqgvH

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
600 Midnight Trail Running Shoes 003 Women’s 861708 Fog Nike gcqxaTB4v 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
Comfort Latin Heel Dance Salabobo bar Leather Custom Professional Womens L036 Shoes Black Tango T
Fax: (715) 822-3624

Womens Latin Professional bar Salabobo Leather Heel Black Tango L036 T Comfort Dance Custom Shoes Additional Identifiers


Salabobo L036 Womens Professional Dance Tango Black Comfort Leather T Heel Shoes Custom Latin bar

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
Comfort Womens T Latin Heel Salabobo bar Professional Shoes Leather Dance L036 Black Custom Tango 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Comfort Leather Tango Heel Shoes Salabobo Womens Professional T Black Custom L036 bar Latin Dance Latin Dance Professional Salabobo bar Custom Leather Heel T Shoes Comfort Black L036 Tango Womens 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Leather bar Latin Heel L036 Dance Womens Professional Tango T Comfort Black Custom Shoes Salabobo 0321190001 MEDICARE NSC (07) WI
0321190002 bar Professional Tango Dance T Heel Custom Black Salabobo Latin Leather Comfort L036 Shoes Womens 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