Lee R Jacobson
Organization Active NPI Eyewear Supplier · Frederic, WI
NPI 1720209075 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720209075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- LEE R JACOBSON
- Practice address
- 108 Oak St E
Frederic, WI 54837-9574 - Phone
- (715) 327-8239
- Fax
- (715) 327-8252
- NPI assigned
- May 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Jacobson Turcott, O.D.
- Title
- Owner
- Phone
- (715) 327-8239
Corporate family (same tax ID) 3
Practitioners 3
-
Lee R Jacobson, OD
National Provider Directory
- Tax ID family
- Jacobson Advanced Eye Care Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
108 Oak St E
Frederic, WI 54837-9574
Mailing address
PO Box 630
Frederic, WI 54837-0630
Phone (715) 327-8239
Other names
- Jacobson Advanced Eye Care Clinic
Other providers in Frederic, WI
- Hope Road Wellness Center, LLC
- Samantha J Hughes
- Claire Ingish
- Quentin Johnson
- Taylor Lauren Koehler
- Erica Lumley
- Marek Chiropractic Incorporated
- Joseph L Marek
- Greg William McCormack
- Tara L Mitchell
All providers in Frederic, WI · Eyewear Supplier in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.