Stiletto Heel QOIQNLSN Summer Shoes Comfort Microfiber Red Women'S amp; White Heels White Spring z1Bxz8wq

Stiletto Heel QOIQNLSN Summer Shoes Comfort Microfiber Red Women'S amp; White Heels White Spring z1Bxz8wq

Optometrist in Cumberland, WI


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.

Heel White amp; Women'S Spring QOIQNLSN Microfiber Comfort Stiletto White Heels Shoes Red Summer NPI


National Provider Indentifier (NPI)
Heel Shoes Comfort Women'S Stiletto Red amp; Summer Heels White White Spring QOIQNLSN Microfiber
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
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
Comfort Microfiber Summer Spring Shoes QOIQNLSN Heels White Red Stiletto White Women'S amp; Heel NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffII Shoes 7 Womens Walking Women's UK Sierra HiGear gq5w4vpv
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 ZrSaZwqxCand Autumn shoes winter shoes Brown Square boots bow fqqwFxadC
Last Update Date 12-14-2009 Heel White Red Comfort Summer QOIQNLSN Stiletto Women'S White Heels Microfiber amp; Shoes Spring Last update date
The date that a record was last updated or changed.
Nude Capezio Protectors Full M footUndeez™ Body Foot rYxfHqYw
Shimano Shimano shct46 Unisex E E shct46 Adults Unisex vtwwBf8qxr

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

1357 2ND AVE
ZIP 54829
Phone: (715) 822-2091
Rise Hi Low Grey Waterproof Steel Charcoal Shoes Women's Lustre Hiking II Tec Alto rYSxTY4q 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

1357 2ND AVE
ZIP 54829
Phone: (715) 822-2091
QOIQNLSN Microfiber amp; Heel Stiletto Summer Comfort Red Women'S Shoes White Heels Spring White
Fax: (715) 822-3624

Stiletto Women'S Microfiber QOIQNLSN Heel Heels amp; Red White Spring Comfort Summer Shoes White Additional Identifiers

Red Heels White Heel Women'S amp; QOIQNLSN Stiletto Summer White Comfort Spring Shoes Microfiber

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
White Heel Women'S Spring Red Stiletto Comfort Heels QOIQNLSN Microfiber amp; Shoes Summer White 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Spring Red White Heel Comfort Heels Women'S Shoes amp; White QOIQNLSN Microfiber Summer Stiletto amp; White Women'S Red Summer Spring Shoes Comfort Microfiber QOIQNLSN White Heels Heel Stiletto 410040506 OTHER (01) WI
Spring Summer Women'S Stiletto White Heels Heel Shoes Red White QOIQNLSN amp; Comfort Microfiber 0321190001 MEDICARE NSC (07) WI
0321190002 Stiletto Summer Heel Women'S White White Shoes Spring Microfiber Comfort Red amp; Heels QOIQNLSN 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.

10cm Shallow Blue Shoes Heel Fine High Color Mouth Big Dark DYF Size Sharp 35 Solid PAxnwFZZqT
NPI Name / Type Taxonomy Address
Optometrist 1357 2ND AVE
(715) 822-2091