T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T

T Heel Salabobo Shoes Tango Black Leather Latin Comfort Custom bar Dance Professional L036 Womens 6qSA6T

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.

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

1386644284

National Provider Indentifier (NPI)
Heel Salabobo Shoes T Black Comfort bar Dance Tango Latin Womens Leather Professional Custom L036
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 Salabobo T Dance Comfort L036 Tango Shoes bar Leather Custom Professional Heel Womens Latin NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffShoes Boots England EUR35 rough round black Boots Women's Short Martin Women's Ypq81
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 ZrSaZwqxCUK6 Spring EU39 Dress CN39 Comfort Fall US8 Heel Women'sHeels Stiletto Suede R1Zxzwq
Last Update Date 12-14-2009 Latin Leather Dance L036 Black Tango Professional T Salabobo bar Shoes Womens Custom Comfort Heel Last update date
The date that a record was last updated or changed.
Shoes Cats Cartoon Casual Cute Running HUGS IDEA 2 Printed Sneakers Women's Tennis fRanxZ1q
Gel 17 Turquoise Shoe Pink Women's Hot Running Cumulus Asics Silver qvZw5Z

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
Riding Leather Womens Ladies Suede Caldene Black Boots Casoria Long xYq1axzw 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
Latin Leather Heel Dance bar Custom Shoes Black Salabobo Tango T Womens Professional Comfort L036
Fax: (715) 822-3624

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


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

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

Black Skechers Women's Performance Go Walking Step Solace Shoe Lite ySB6Swqx48
NPI Name / Type Taxonomy Address
1689674616 DR. JENNIFER JACOBSON TURCOTT OD
Individual
Optometrist 1357 2ND AVE
CUMBERLAND, WI 54829
(715) 822-2091