Individual provider Active NPI

James M Yonkee, O.D.

  • Optometrist
  • Bartlett, IL
National Provider Identifier
1215960240
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008757 Issued in IL
Practice address
1691 South Route 59
Bartlett, IL 60103
Phone
(630) 372-2883
Fax
(630) 372-2886
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008757 IL Primary

Addresses

Primary practice location

1691 South Route 59
Bartlett, IL 60103

Mailing address

234 Circle Avenue
Bloomingdale, IL 60108
Phone (630) 673-4996

Other identifiers 1

IdentifierTypeStateIssuer
P01342601OtherILRAIL ROAD MEDICARE

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
I20121206000593 IL Practitioner - Optometry 0547412090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1691 S Il Route 59
Bartlett, IL 60103-3047
Phone (630) 372-2883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008757ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Yonkee O.D. Inc. Optometrist CurrentSince Oct 17, 2012 Accepting new patients
Charles S Ovitsky PC Optometrist CurrentSince Mar 1, 2014 Accepting new patients

Locations

1691 S State Route 59
Bartlett, IL 60103
Phone (630) 372-2883

3500 W Peterson Ave
Ste 401
Chicago, IL 60659

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

350 W South 1st St
Red Bud, IL 62278
Phone (618) 282-3891

1100 S Lewis Ave
Waukegan, IL 60085
Phone (847) 244-8196

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1215960240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 CIRCLE AVENUE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "60108",
            "telephone_number": "630-673-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 SOUTH ROUTE 59",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-372-2883",
            "fax_number": "630-372-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONKEE",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01342601",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

Verify at the official NPI Registry.