| Lee R Jacobson Od Sc | |
|
1357 Second Ave, Cumberland, WI 54829 | |
| (715) 822-2091 | |
| (715) 822-3624 |
| Full Name | Lee R Jacobson Od Sc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1357 Second Ave, Cumberland, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750494449 | NPI | - | NPPES |
| DB1413 | Other | WI | RR PTAN DB1413 |
| 38728100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lee R Jacobson Od Sc Po Box 250, 1357 Second Ave, Cumberland, WI 54829 Ph: (715) 822-2091 | Lee R Jacobson Od Sc 1357 Second Ave, Cumberland, WI 54829 Ph: (715) 822-2091 |
Dr. Lee R Jacobson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1357 2nd Ave, Cumberland, WI 54829 Phone: 715-822-2091 Fax: 715-822-3624 | |
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 |