Active NPI
Karyn Bassett, O.D.
- Optometrist
- Bourbonnais, IL
National Provider Identifier
1023344835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.010299
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046.010299 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc. | Optometrist | Past | 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.
-
- Optometrist
- Niles, IL
- NPI 1831115906
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
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.