Lee R Jacobson is a Optometrist in Cumberland, Wisconsin. Lee R Jacobson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lee R Jacobson is 1386644284. The last update date is 2009-12-14.
Lee R Jacobson's current location address is 1357 2nd Ave, Cumberland, Wisconsin. You can contact this provider via phone number 7158222091 and fax number 7158223624. The mailing address for Lee R Jacobson is 1357 2nd Ave, Cumberland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee R Jacobson |
|---|---|
| Address | 1357 2nd Ave, Cumberland, Wisconsin |
| Phone Number | 7158222091 |
| Fax Number | 7158223624 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1386644284 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2009-12-14 |
Provider Mailing Address Detail
| Address | 1357 2nd Ave |
|---|---|
| City | Cumberland |
| State | Wisconsin (WI) |
| Post Code | 548297211 |
| Phone Number | 7158222091 |
| Fax Number | 7158223624 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1298 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38541900 | WI | -- | |
| 410011362 | WI | RR-PTAN 410011362 | |
| 410040506 | WI | RR-PTAN 410040506 |
Post Comment/ Review Below
What is the unique identification code assigned to Lee R Jacobson by the Centers for Medicare & Medicaid Services?
The Lee R Jacobson has been issued the NPI (National Provider Identifier) 1386644284. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lee R Jacobson?
The Lee R Jacobson is physically situated at 1357 2Nd Ave, in the city of Cumberland, state of WI, with the postal code 548297211.
What is Lee R Jacobson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lee R Jacobson is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.
On what date did Lee R Jacobson receive its 1386644284 assignment from the Centers for Medicare & Medicaid Services?
The Lee R Jacobson was assigned its 1386644284 on 2005-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lee R Jacobson most recently updated or revised?
The information pertaining to Lee R Jacobson, including its address, specialty, and other relevant details, was last updated or revised on 2009-12-14.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY