Jeffrey T Caron, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008157 Issued in IL

Practice address

318 W Main St
Genoa, IL 60135-5402

Phone

(815) 784-6480

NPI assigned

Dec 19, 2005

Last updated

Oct 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marengo Vision Center, P.C.Group PAC ID 8426061169, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Marengo Vision Center, P.C.

  dba Harvard Family Eye Care

  • Optometrist
  • Harvard, IL
  • NPI 1396940938
  Medicare reassignment Care Compare group NPD
• Jeffrey T. Caron, P.C.

  dba Jeffrey Caron Optometry PC

  • Eyewear Supplier
  • Genoa, IL
  • NPI 1831350404
  Authorized official Same address or phone
• Marengo Vision Center, P.C.

  • Optometrist
  • Marengo, IL
  • NPI 1992736276
  NPD

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1194701490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601355402",
            "telephone_number": "815-784-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W MAIN ST",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601355402",
            "telephone_number": "815-784-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "JEFFREY",
        "middle_name": "T",
        "credential": "P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avancer Homes, LLC
• Lori Beth Bankson, RN
• Ben Gordon Center
• Allison Marie Brown
• Kristin Brust, CFNC, BCHHP
• Cara Comparone, LCSW
• Jacqueline Ortiz Contreras
• David N McAuslan DDS PC (Genoa Smiles)
• Victoria Elizabeth Deku, M.S. CCC-SLP
• Steven J Disanti, DO

• Optometrist in Genoa, IL
• Providers in Genoa, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.