Lee R Jacobson in Frederic - Eyewear Supplier
Lee R Jacobson - NPI 1720209075
Lee R Jacobson is a Eyewear Supplier in Frederic, Wisconsin. Lee R Jacobson practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Lee R Jacobson is 1720209075. The last update date is 2020-08-22.
Lee R Jacobson's current location address is Po Box 630, Frederic, Wisconsin. You can contact this provider via phone number 7153278239 and fax number 7153278252. The mailing address for Lee R Jacobson is Po Box 630, Frederic, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lee R Jacobson |
|---|---|
| Address | Po Box 630, Frederic, Wisconsin |
| Phone Number | 7153278239 |
| Fax Number | 7153278252 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Turcott Jacobson Jennifer |
| Credentials | O.D. |
| Telephone Number | 7153278239 |
NPI Number Detail
| NPI Number | 1720209075 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 630 |
|---|---|
| City | Frederic |
| State | Wisconsin (WI) |
| Post Code | 548370630 |
| Phone Number | 7153278239 |
| Fax Number | 7153278252 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the Lee R Jacobson's unique identification number?
The Lee R Jacobson has been assigned the NPI (National Provider Identifier) Number 1720209075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lee R Jacobson is physically located?
The Lee R Jacobson is situated at the following address: Po Box 630, Frederic, WI 548370630.
What is Lee R Jacobson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lee R Jacobson's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720209075 to Lee R Jacobson?
The Lee R Jacobson received its 1720209075 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
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 2020-08-22.
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