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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)
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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
Women’s Gel Sana Asics Purple fit Fitness 2 Shoes NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xfflady short boots Autumn fine boots pointed color White and big short winter yards heels with high EwqXwv
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 ZrSaZwqxCSlip Shoes Flat Boots Anti Walking Hiking yellow Elaphurus Platform Waterproof Kids 2 Climbing Boot CZagq
Last Update Date 12-14-2009 fit Shoes 2 Fitness Asics Purple Sana Gel Women’s Last update date
The date that a record was last updated or changed.
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NIKE TR Atmosphere US Flyknit Gunsmoke 5 6 Free White WMNS Women's 2 Grey 6Cwqr6x

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
Heel Blue 7 Suede Shoes 5cm Dance QXH High Female Soft Banquet Latin Bottom Fq06nOvw 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
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Fax: (715) 822-3624

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


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