Organization
LEE R JACOBSON OD SC
Active
Other names
Jacobson Advanced Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER JACOBSON TURCOTT DD (OWNER)
(715) 822-2091
Entity
Organization
Contact information
Practice address
1357 SECOND AVE, CUMBERLAND, WI 54829
(715) 822-2091
(715) 822-3624
Mailing address
PO BOX 250, 1357 SECOND AVE, CUMBERLAND, WI 54829
(715) 822-2091
(715) 822-3624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38728100
—
WI
01
—
DB1413
RR PTAN DB1413
WI
Enumeration date
08/16/2006
Last updated
10/01/2008
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