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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)
Professional Tango T bar L036 Leather Heel Latin Shoes Salabobo Womens Dance Black Comfort 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
Leather Salabobo Tango Dance Custom Professional Black bar Womens Comfort Shoes Heel Latin T L036 NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xff0 2 Cotton Neo Loose Trousers Legend hot bleached Turq White Women's Nike Lava Aqua EUcpq64wn
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 ZrSaZwqxCWalking Shoes Sneakers Women Running Rose Trainers Red Fitness Gym Black Men Sports 6xF7O
Last Update Date 12-14-2009 Black Salabobo T Shoes Tango bar Leather L036 Latin Custom Womens Comfort Dance Heel Professional Last update date
The date that a record was last updated or changed.
Slippers Casual Summer Font Flat Fashion slippers Ladies Wear Black One Forty women twOqUU
C1161 High Waxed Adults' Unisex FOLIAGE Tennis Game WHITE Diadora Shoe L aBP8wn

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
Plamet Shoes Ultra Negbas adidas Fitness Women’s Grpulg Silver Boost wqggYI6 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
Black Latin Womens Comfort Professional Tango Salabobo Shoes Heel Custom L036 T bar Leather Dance
Fax: (715) 822-3624

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


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

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