Jacobson Optometry Ltd

LBN: Jacobson Optometry Ltd
Jacobson Optometry Ltd is an health care organization with primary practice located at 1801 W Knapp St Ste 3 , Rice Lake WI 54868-1381. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Jacobson Optometry Ltd can be contacted via phone (715) 234-3113, or through Jacobson, Kevin E via phone (715) 234-3113.

Contact Information

Primary practice address
1801 W Knapp St Ste 3 Rice Lake WI 54868-1381
Phone: (715) 234-3113
Fax: (715) 234-2339
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Kevin E Doctor of Optometry (OD)
Phone: (715) 234-3113

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1255518635
LBN Legal business name Jacobson Optometry Ltd
DBA Doing business as
Authorized official Jacobson, Kevin E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Jan 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255518635 NPPES
Wisconsin MEDICAID 38527700

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