NPIMap

Organization Active NPI

Lee R Jacobson OD SC

Doing business as Jacobson Advanced Eye Care

  • Optometrist
  • Cumberland, WI
National Provider Identifier
1750494449
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEE R JACOBSON OD SC
Doing business as
Jacobson Advanced Eye Care
Practice address
1357 Second Ave
Cumberland, WI 54829
Phone
(715) 822-2091
Fax
(715) 822-3624
NPI assigned
Aug 16, 2006
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Jacobson Turcott, DDNPI 1689674616
Title
Owner
Phone
(715) 822-2091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1357 Second Ave
Cumberland, WI 54829

Mailing address

PO Box 250
1357 Second Ave
Cumberland, WI 54829
Phone (715) 822-2091

Other identifiers 2

IdentifierTypeStateIssuer
DB1413OtherWIRR PTAN DB1413
38728100MedicaidWI

Other names 1

  • Jacobson Advanced Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jacobson Advanced Eye Care Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1750494449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "1357 SECOND AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "54829",
            "telephone_number": "715-822-2091",
            "fax_number": "715-822-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 SECOND AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "54829",
            "telephone_number": "715-822-2091",
            "fax_number": "715-822-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE R JACOBSON OD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "TURCOTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JACOBSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-822-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN DB1413",
            "identifier": "DB1413",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38728100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacobson Advanced Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumberland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.