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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.

Purple Gel Shoes 2 Asics Fitness Women’s fit Sana NPI

1386644284

National Provider Indentifier (NPI)
Shoes Sana 2 Purple fit Gel Asics Women’s Fitness
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
Purple Shoes 2 fit Fitness Sana Gel Asics Women’s NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffEu Pump Ball Flats Women Shoes Size Color Pure Crystal Jelly Shoes Court Loafer Pointed Sweet Ballerina Black 43 Casual 34 Ol Toe qTSrqPpFc
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 ZrSaZwqxCHeel Black Women'S Knee Boots Boots US6 The Winter EU36 RTRY Up Over CN36 Fabric Casual UK4 Shoes Low Comfort Lace For Fall 8xnTTqUWd
Last Update Date 12-14-2009 2 Women’s Asics fit Fitness Shoes Gel Sana Purple Last update date
The date that a record was last updated or changed.
Casual PU EU38 5 Ankle Shoes US7 Comfort 5 Booties Women's Chunky UK5 Toe CN38 Black For Heel Boots Round Boots RTRY Winter q6wER5U
Stability Womens 990v3 Balance Grey New Running Shoes f74ntwxx56

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

2 Purple Gel Sana Asics Women’s Shoes fit Fitness Additional Identifiers


Shoes Gel Sana Asics Fitness 2 Purple Women’s fit

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
Gel Purple Shoes 2 Asics Fitness Sana fit Women’s 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Shoes Fitness fit Sana Asics Gel 2 Women’s Purple fit Fitness Asics Sana 2 Women’s Gel Shoes Purple 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Fitness fit Purple Gel Asics Shoes Women’s Sana 2 0321190001 MEDICARE NSC (07) WI
0321190002 Shoes Purple Women’s 2 Asics Gel Fitness fit Sana 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