Individual provider Active NPI

Ryan Jass, O.D.

  • Optometrist
  • Bartlett, IL
National Provider Identifier
1053792986
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046 010875 Issued in IL
Practice address
986 S Bartlett Rd
Bartlett, IL 60103-6500
Phone
(630) 837-7630
Fax
(630) 837-3292
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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 010875 IL Primary

Addresses

Primary practice location

986 S Bartlett Rd
Bartlett, IL 60103-6500

Mailing address

19635 S Skye Dr
Frankfort, IL 60423-8800
Phone (815) 953-0471

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
I20150630000676 IL Practitioner - Optometry 1557673894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

986 S Bartlett Rd
Bartlett, IL 60103-6500
Phone (630) 837-7630

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046 010875ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Behavioral Health, LTD CurrentSince Feb 6, 2016 Accepting new patients
Jass Eyecare P.C. Optometrist CurrentSince Jan 12, 2020 Accepting new patients

Locations

986 S Bartlett Rd
Bartlett, IL 60103
Phone (630) 837-7630

3135 W 111th St
Chicago, IL 60655
Phone (773) 233-4448

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1053792986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19635 S SKYE DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238800",
            "telephone_number": "815-953-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 S BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601036500",
            "telephone_number": "630-837-7630",
            "fax_number": "630-837-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046 010875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.