Individual provider Active NPI

Joseph Frank Grasso, O.D.

  • Optometrist
  • Pinckneyville, IL
National Provider Identifier
1003898768
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046006727 Issued in IL
Practice address
15 N Locust St
Pinckneyville, IL 62274-1147
Phone
(618) 357-6117
Fax
(618) 357-3406
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046006727 IL Primary

Addresses

Primary practice location

15 N Locust St
Pinckneyville, IL 62274-1147

Mailing address

15 N Locust St
Pinckneyville, IL 62274-1147
Phone (618) 357-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000312 IL Practitioner - Optometry 2668420837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Eyecare PLLCGroup PAC ID 8729036983, 4 clinicians

Practice addresses (Care Compare)

630 S Washington St
Du Quoin, IL 62832-1906
Phone (618) 542-6677

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Eyecare PLLC Optometrist CurrentSince Oct 1, 1998 Accepting new patients
JFJ Eyecare LTD Optometrist Past Accepting new patients

Locations

425 W Holmes St
Chester, IL 62233
Phone (618) 826-4521

1209 Swanwick St
Chester, IL 62233
Phone (618) 826-4521

630 S Washington St
Du Quoin, IL 62832
Phone (618) 542-6677

521 N Borders Ave
Ste B
Marissa, IL 62257
Phone (618) 295-1600

15 N Locust St
Pinckneyville, IL 62274
Phone (618) 357-6117

520 E Broadway St
Sparta, IL 62286
Phone (618) 443-3111

714 S Saint Louis St
Sparta, IL 62286
Phone (618) 443-5252

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL HMO C-SNP
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • IL PPO Downstate

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1003898768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N LOCUST ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741147",
            "telephone_number": "618-357-6117",
            "fax_number": "618-357-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N LOCUST ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741147",
            "telephone_number": "618-357-6117",
            "fax_number": "618-357-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO",
        "first_name": "JOSEPH",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckneyville, IL

Sources for this page

Verify at the official NPI Registry.