Individual provider Active NPI

Karyn Bassett, O.D.

  • Optometrist
  • Bourbonnais, IL
National Provider Identifier
1023344835
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010299 Issued in IL
Practice address
1600 N Sr 50
Pearle Vision
Bourbonnais, IL 60914-9307
Phone
(815) 935-0404
Fax
(815) 935-0489
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010299 IL Primary

Addresses

Primary practice location

1600 N Sr 50
Pearle Vision
Bourbonnais, IL 60914-9307

Mailing address

1600 N Sr 50
Pearle Vision
Bourbonnais, IL 60914-9307
Phone (815) 935-0404

Other practice location 1

96 River Oaks Center Dr Ste B101
Calumet City, IL 60409-5578
Phone (708) 832-3869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010299ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients
Visionworks, Inc Past Accepting new patients

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023344835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N SR 50",
            "address_2": "PEARLE VISION",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149307",
            "telephone_number": "815-935-0404",
            "fax_number": "815-935-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N SR 50",
            "address_2": "PEARLE VISION",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609149307",
            "telephone_number": "815-935-0404",
            "fax_number": "815-935-0489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 River Oaks Center Dr Ste B101",
            "address_purpose": "LOCATION",
            "city": "Calumet City",
            "state": "IL",
            "postal_code": "604095578",
            "country_code": "US",
            "telephone_number": "708-832-3869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASSETT",
        "first_name": "KARYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.