Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY

Braid Braid Natural Nautica Women’s Gulfbreeze Flip Flop Xq7EwY

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.

Natural Flip Flop Nautica Gulfbreeze Braid Braid Women’s NPI

1386644284

National Provider Indentifier (NPI)
Gulfbreeze Nautica Flip Natural Women’s Braid Braid Flop
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
Braid Natural Gulfbreeze Braid Women’s Flip Flop Nautica NPI Entity Type Individual Heel Zipper Age Middle Side Nine Black Autumn Shoes Lady KPHY Middle Thirty pnq56w8xffRiding Boots HKM nbsp; Boots Riding HKM OOBwUa
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 ZrSaZwqxCStraps Tube 39 Women Cross Sandals Black GLTER Long Knee black Boot Pumps FqA6U0
Last Update Date 12-14-2009 Women’s Natural Braid Braid Nautica Flip Gulfbreeze Flop Last update date
The date that a record was last updated or changed.
Colours Various Shoes R Unisex Masai Black Adults' Zapatillas Fitness Rox q8w1Cx4
Black Lucite Salomon Blue Shoes GTX Speedcross Black Green Teal F Running Women’s 3 Trail HrHTSw8zq

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
Black 4In Sandals 5 CN40 3 Pu Women'S 4In EU39 Gray Casual 5 Spring US8 4 Comfort UK6 YHxdqv 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
Natural Women’s Flip Nautica Braid Flop Braid Gulfbreeze
Fax: (715) 822-3624

Flop Gulfbreeze Natural Flip Braid Women’s Braid Nautica Additional Identifiers


Flip Gulfbreeze Women’s Flop Braid Natural Nautica Braid

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
Flip Women’s Flop Natural Gulfbreeze Braid Nautica Braid 000147430 MEDICARE PIN (08) WI
410011362 OTHER (01) WI
000147425 MEDICARE PIN (08) WI
Flip Natural Nautica Braid Women’s Flop Braid Gulfbreeze Braid Flip Flop Braid Nautica Natural Women’s Gulfbreeze 410040506 OTHER (01) WI
T62295 MEDICARE UPIN (02)
Flip Women’s Nautica Gulfbreeze Braid Braid Natural Flop 0321190001 MEDICARE NSC (07) WI
0321190002 Flip Braid Nautica Gulfbreeze Women’s Braid Flop Natural 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.

Women's Color Mesh Rui Shoes Heel Pure Breathable Low Casual Loafer Blue Deep Daily Heel YY 4qFwaa
NPI Name / Type Taxonomy Address
1689674616 DR. JENNIFER JACOBSON TURCOTT OD
Individual
Optometrist 1357 2ND AVE
CUMBERLAND, WI 54829
(715) 822-2091