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NPI Profile

NPI: 1750494449
Provider Name: LEE R JACOBSON OD SC

Doing Business As: JACOBSON ADVANCED EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1357 SECOND AVE
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CUMBERLAND, WI
ZIP 54829
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Phone: (715) 822-2091

Black Ladies Harris Mid Weathertite Mid Harris LEE R JACOBSON OD SC is a healthcare provider in Cumberland, WI.The provider is 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. LEE R JACOBSON OD SC NPI is 1750494449. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jacobson Advanced Eye Care.

The provider's business location address is:

1357 SECOND AVE
CUMBERLAND, WI
ZIP 54829
Phone: (715) 822-2091
Fax: (715) 822-3624

The provider's authorized official is Jennifer Jacobson Turcott .
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The authorized official title is Owner and has the following contact phone number (715) 822-2091.

Weathertite Harris Harris Mid Mid Black Ladies The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Mid Black Harris Ladies Mid Harris Weathertite Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 Sandals Summer Flat UK7 Black Women'S EU40 Comfort RTRY Casual Cowhide US8 CN41 Comfort qfx5wxyCg Optometrist Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 38728100 Black Mid Mid Harris Harris Ladies Weathertite MEDICAID Harris Weathertite Harris Black Mid Mid Ladies WISCONSIN
2 DB1413 OTHER WISCONSIN RR PTAN DB1413
Weathertite Harris Harris Mid Black Mid Ladies 3 0321190001 Harris Weathertite Mid Black Ladies Mid Harris MEDICARE NSC WISCONSIN
4 000047425 MEDICARE PIN WISCONSIN

What is NPI?

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NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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