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Deactivated NPI 1447234422 Deactivated / Inactive NPI Male Practitioner

Dr. Leslie Walter Jacobson , MD

Ophthalmology • Edina, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leslie Jacobson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 02, 2005
NPI Deactivation Date October 03, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Jacobson, MD was a registered Ophthalmology practicing in Edina, MN. Throughout an active medical career spanning 13 years, Dr. Jacobson provided care at the practice location at 6533 DREW AVE S until profile deactivation on 2018-10-03.

Practice Location & Contact Primary Location

Practice Address

6533 Drew Ave S

Edina, MN 55435

Telephone 9529277138
Fax 9529244021
Associated Practice Facility / Clinic
🏢 Southdale Optical Co Facility NPI 1871576306

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Edina, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.8 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
52 Specialists

Practicing in Edina, MN (457 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MN 14592

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1033193537

Doctor of Medicine (M.D.)

NPI 1083698419

Doctor of Medicine (M.D.)

NPI 1114901543

Doctor of Medicine (M.D.)

NPI 1184609646

Doctor of Medicine (M.D.)

NPI 1336360593

Doctor of Medicine (M.D.)

NPI 1467436477

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 03, 2018

Record deactivated on October 03, 2018

NPI Profile Active October 24, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 24, 2011

Registered at 6533 DREW AVE S, EDINA, MN 55435 (Tel: 9529277138)

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Updated Business Mailing Address October 24, 2011

Registered at 6533 DREW AVE S, EDINA, MN 55435 (Tel: 9529277138)

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Provider Name / Credentials Updated October 24, 2011

Recorded as LESLIE JACOBSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2011

Ophthalmology (License #14592 in MN)

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Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447234422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2005
Last Update: October 24, 2011
Deactivation Date: October 03, 2018

Mailing Address

6533 Drew Ave S

Edina, MN 55435

Phone: 9529277138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.