LEE R JACOBSON OD SC (NPI# 1750494449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750494449 |
| Entity Type | Organization |
| Organization Name | LEE R JACOBSON OD SC |
| Other Organization Name | JACOBSON ADVANCED EYE CARE |
| Practice Address |
1357 Second Ave Cumberland WI 54829 |
| Mailing Address |
Po Box 250 1357 Second Ave Cumberland WI 54829 |
| Practice Telephone | 7158222091 |
| Practice Fax Number | 7158223624 |
| Mailing Telephone | 7158222091 |
| Mailing Fax Number | 7158223624 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-10-01 |
| Authorized Official Name | DR. JENNIFER JACOBSON TURCOTT (OWNER) |
| Authorized Official Telephone | 7158222091 |
| Authorized Official Credential | DD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | RR PTAN DB1413 | DB1413 | 01 |
| WI | 38728100 | 05 |
| Other Name | Type Code |
|---|---|
| Jacobson Advanced Eye Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538389846 | Lee R Jacobson Od Sc | Eyewear Supplier (Equipment, not the service) | 1357 Second Ave, Cumberland, WI 54829 | 2007-04-27 |
| Street Address |
1357 SECOND AVE |
| City | CUMBERLAND |
| State | WI |
| Zip Code | 54829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538389846 | Lee R Jacobson Od Sc | Eyewear Supplier (Equipment, not the service) | 1357 Second Ave, Cumberland, WI 54829 | 2007-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508100744 | Michelle Marie Miller | Licensed Practical Nurse | 2503 12th St., Cumberland, WI 54829 | 2012-11-10 |
| 1336492230 | Harriet Ailene Osumi | Occupational Therapist | 1220 Jeffery Blvd, Cumberland, WI 54829 | 2012-10-17 |
| 1497082663 | Optima Natural Health & Wellness, LLC | Chiropractor | 1320 2nd Ave, Cumberland, WI 54829 | 2009-11-10 |
| 1295982593 | Toftness Chiropractic Clinic LLC | Chiropractor | 1425 2nd Ave., Cumberland, WI 54829 | 2008-08-19 |
| 1114143740 | Heather Colleen Gaylord | Occupational Therapist | 1110 7th Street, Cumberland, WI 54829 | 2007-04-18 |
| 1598857518 | Jodi Lynne Griffith | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
| 1649691361 | Stefanie Rinehardt | Nurse Anesthetist, Certified Registered | 1110 7th Ave, Cumberland, WI 54829 | 2013-12-23 |
| 1083917926 | Blue Hills Chiropractic LLC | Chiropractor | 1320 2nd Avenue, Cumberland, WI 54829 | 2010-12-15 |
| 1730233651 | Cumberland Memorial Hospital Inc | Medicare Defined Swing Bed Unit | 1110 7th Ave, Cumberland, WI 54829 | 2007-01-22 |
| 1134211154 | Thomas Lee Toftness | Chiropractor | 1425 2nd Ave, Cumberland, WI 54829 | 2006-09-28 |
| Find all providers in zip 54829 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104975150 | Eye Tech LLC | Optometrist | 506 N Centre Street, Cumberland, MD 21502 | 2007-01-09 |
| 1992758262 | Shawn Ricker | Optometrist | 50 Greene St, Cumberland, MD 21502-2933 | 2006-05-18 |
| 1306833868 | Steven W. Santos | Optometrist | 248 Broad St, Cumberland, RI 02864-8134 | 2005-09-30 |
| 1841282910 | Robert R Mitter | Optometrist | 506 N Centre St, Cumberland, MD 21502-2103 | 2005-08-16 |
| 1043212053 | James Alexander Poland | Optometrist | 2 Frederick St, Cumberland, MD 21502-2329 | 2005-08-10 |
| 1386644284 | Lee R Jacobson | Optometrist | 1357 2nd Ave, Cumberland, WI 54829-7211 | 2005-07-21 |
| 1124474317 | Michael C. Santos | Optometrist | 248 Broad St, Cumberland, RI 02864-8134 | 2016-05-06 |
| 1316363823 | Allegany Optical LLC | Optometrist | 506 N Centre St, Cumberland, MD 21502-2103 | 2014-03-07 |
| 1700174497 | Katelin Zaluski | Optometrist | 2 Frederick St, Cumberland, MD 21502-2329 | 2011-07-14 |
| 1194957340 | Linda S Haidar | Optometrist | 2 Frederick St, Cumberland, MD 21502-2329 | 2009-08-20 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 54829 |
Please comment or provide details below to improve the information on LEE R JACOBSON OD SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.