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Organization
JACOBSON OPTOMETRY LTD
Active
Organization
JACOBSON OPTOMETRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN E JACOBSON O.D. (DOCTOR)
(715) 234-3113
Entity
Organization
Contact information
Practice address
1801 W KNAPP ST STE 3, RICE LAKE, WI 54868-1381
(715) 234-3113
(715) 234-2339
Mailing address
1801 W KNAPP ST STE 3, RICE LAKE, WI 54868-1381
(715) 234-3113
(715) 234-2339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38527700
—
WI
Enumeration date
01/28/2008
Last updated
01/28/2008
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