Organization

Jacobson Optometry Ltd

Clinic/Center in Rice Lake, WI(View on Map)

Legal Business Name

Jacobson Optometry Ltd

NPI Number

1255518635

NPI Type

Organization

Enumeration Date

01/28/2008

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1801 W KNAPP ST STE 3
1801 W KNAPP ST STE 3

City

Rice Lake
Rice Lake

State

WI
WI

Postal Code

54868-1381
54868-1381

Country

US
US

Telephone Number

(715) 234-3113
(715) 234-3113

Authorized Official

Name

Dr. Kevin Jacobson

Title or Position

DOCTOR

Telephone Number

(715) 234-3113

Identifiers

Identifier

38527700

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/28/2008

Provider Address

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