Individual
DR. JEFFREY LEE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 OAKLAWN AVE, OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC, CRANSTON, RI 02920-2643
(401) 463-6696
(401) 463-5913
Mailing address
2921 ERIE BLVD EAST, SYRACUSE, NY 13224
(315) 445-7665
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00319
RI
Other
Enumeration date
05/16/2006
Last updated
09/04/2007
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