Individual provider Active NPI

Jason Piant, O. D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1275780470
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3219 Issued in MN
Practice address
3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307
Phone
(773) 588-3090
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3219 MN Primary

Addresses

Primary practice location

3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307

Mailing address

5817 Ivy LN
Minnetonka, MN 55345-5314
Phone (303) 887-6631

Other practice location 1

445 Minnesota St Ste 1500
Saint Paul, MN 55101-2269
Phone (773) 588-3090

Other practice location 2

995 Blue Gentian Rd
Eagan, MN 55121-1542
Phone (303) 887-6631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IL, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131213000537 MN Practitioner - Optometry 5395896013 Reassigns benefits to 1 organization
I20210916001038 IL Practitioner - Optometry 5395896013 Reassigns benefits to 1 organization
I20221019001738 WI Practitioner - Optometry 5395896013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ovitsky Vision Care of Wisconsin LTDGroup PAC ID 4082964499, 6 clinicians
Charles S Ovitsky PCGroup PAC ID 7012175102, 14 clinicians

Practice addresses (Care Compare)

11414 W Park PL
Suite 202
Milwaukee, WI 53224-3500
Phone (773) 588-3090

3500 W Peterson Ave
Suite 401
Chicago, IL 60659-3307
Phone (773) 588-3090

445 Minnesota St
Suite 1500
Saint Paul, MN 55101-2269
Phone (773) 588-3090

Merit-based Incentive Payment System (MIPS)

Final score
97.24 of 100Reported as group
Quality
74.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.39
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2670COMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ovitsky Vision Care of Minnesota PC Optometrist CurrentSince Apr 30, 2019 Accepting new patients
Ovitsky Vision Care of Wisconsin LTD Optometrist CurrentSince Sep 15, 2022 Accepting new patients
Charles S Ovitsky PC Optometrist CurrentSince Aug 12, 2021 Accepting new patients

Locations

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

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

11414 W Park Pl
Ste 202
Milwaukee, WI 53224
Phone (414) 292-7060

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1275780470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5817 IVY LN",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455314",
            "telephone_number": "303-887-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PETERSON AVE STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593307",
            "telephone_number": "773-588-3090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Minnesota St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012269",
            "country_code": "US",
            "telephone_number": "773-588-3090",
            "fax_number": "773-588-3210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 BLUE GENTIAN RD",
            "address_purpose": "LOCATION",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211542",
            "country_code": "US",
            "telephone_number": "303-887-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIANT",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.