Jessica A Condie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010394 Issued in IL

Practice address

3241 S Michigan Ave
Chicago, IL 60616-3878

Phone

(312) 949-7211

Fax

(312) 949-7389

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Northwest Eyecare PCGroup PAC ID 7012968209, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as individual

Quality

82.49

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Northwest Eyecare PC

  • Optometrist
  • Freeport, IL
  • NPI 1184800625
  Medicare reassignment Care Compare group NPD
• Kehoe Eye Care PC

  • Optometrist
  • Galesburg, IL
  • NPI 1235104035
  Medicare reassignment NPD
• Jason Lam O.D., M.B.a., Inc.

  • Optometrist
  • Corona, CA
  • NPI 1598129769
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1205148806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-L PLAZA STE 35",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014501",
            "telephone_number": "309-343-1179",
            "fax_number": "309-343-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163878",
            "telephone_number": "312-949-7211",
            "fax_number": "312-949-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDIE",
        "first_name": "JESSICA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010394",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concise Health Care Inc
• Gregory Clement Concodora, PSYD
• Concord Therapy, LLC
• Erica Concors, MD
• Christina Conde
• Carolyn Ann Condiff
• Jacob Conditt, OD
• Suzanne Condon-Paskiewicz, LCSW
• Erin M Condon
• Genevieve Elizebeth Condon

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.