| 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 | |
Lee R Jacobson Od Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1357 Second Ave, Cumberland, WI 54829 Phone: 715-822-2091 Fax: 715-822-3624 |