National Provider Identifier Database

LEE R JACOBSON OD SC
Optometrist

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.


Contact Information

LEE R JACOBSON OD SC
1357 SECOND AVE
CUMBERLAND, WI54829
Phone: 715-822-2091
Fax: 715-822-3624
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for LEE R JACOBSON OD SC

NPI Number 1750494449
Legal business name
LBN
LEE R JACOBSON OD SC
Authorized official JENNIFER TURCOTT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/16/2006
Last updated 10/01/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WI Medicaid: 38728100
  • WI Other: DB1413 RR PTAN DB1413

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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