Organization
NORTHVIEW EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN EDWARD JACOBSON OD (DR/OWNER)
(715) 234-3113
Entity
Organization
Contact information
Practice address
1801 W KNAPP ST STE 3, RICE LAKE, WI 54868
(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
152W00000X
Optometrist
Primary
2084
WI
Other
Enumeration date
05/24/2017
Last updated
07/20/2018
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