Organization Active NPI

Jaffery Eyecare

  • Optometrist
  • Bloomingdale, IL
National Provider Identifier
1356138135
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAFFERY EYECARE
Practice address
357 W Army Trail Rd Ste 32
Bloomingdale, IL 60108-2357
Phone
(630) 894-5042
NPI assigned
Apr 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Syed Jaffery, ODNPI 1437929247
Title
Owner/Optometrist
Phone
(630) 518-5810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

357 W Army Trail Rd Ste 32
Bloomingdale, IL 60108-2357

Mailing address

357 W Army Trail Rd Ste 32
Bloomingdale, IL 60108-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251209001524 IL Part B Supplier - Clinic/Group Practice 2365936267 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomingdale, IL

National Provider Directory

National Provider Directory

Locations

357 W Army Trail Rd
Unit 52
Bloomingdale, IL 60108
Phone (630) 894-5042

357 W Army Trail Rd
Ste 32
Bloomingdale, IL 60108
Phone (630) 894-2401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1356138135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W ARMY TRAIL RD STE 32",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W ARMY TRAIL RD STE 32",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082357",
            "telephone_number": "630-894-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFERY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "JAFFERY",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "630-518-5810",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.