Organization · Type 2 NPI
Lee R Jacobson
Eyewear Supplier · Frederic, WI
NPI number
1720209075
Active
Practice location
108 Oak St E
Frederic, WI 54837-9574
Fax (715) 327-8252
Mailing address
PO Box 630
Frederic, WI 54837-0630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1720209075
Lee R Jacobson's National Provider Identifier is 1720209075, issued on May 2, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Frederic, WI. The record was last updated on Aug 22, 2020.