Dr Lee R Jacobson, OD | |
1357 2nd Ave, Cumberland, WI 54829-7211 | |
(715) 822-2091 | |
(715) 822-3624 |
Full Name | Dr Lee R Jacobson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1357 2nd Ave, Cumberland, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386644284 | NPI | - | NPPES |
38541900 | Medicaid | WI | |
410011362 | Other | WI | RR-PTAN 410011362 |
410040506 | Other | WI | RR-PTAN 410040506 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1298 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Lee R Jacobson, OD 1357 2nd Ave, Cumberland, WI 54829-7211 Ph: (715) 822-2091 | Dr Lee R Jacobson, OD 1357 2nd Ave, Cumberland, WI 54829-7211 Ph: (715) 822-2091 |
Dr. Jennifer Jacobson Turcott, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1357 2nd Ave, Cumberland, WI 54829 Phone: 715-822-2091 Fax: 715-822-3624 | |
Jacobson Advanced Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1357 Second Ave, Cumberland, WI 54829 Phone: 715-822-2091 Fax: 715-822-3624 |