Individual provider Active NPI

Jason Jager, O.D.

  • Optometrist
  • South Elgin, IL
National Provider Identifier
1427306786
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010608 Issued in IL
Practice address
384 Randall Rd
South Elgin, IL 60177-3318
Phone
(847) 695-3354
NPI assigned
Aug 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010608 IL Primary

Addresses

Primary practice location

384 Randall Rd
South Elgin, IL 60177-3318

Mailing address

384 Randall Rd
South Elgin, IL 60177-3318
Phone (847) 695-3354

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
I20121102000022 IL Practitioner - Optometry 8921258708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Le Vision IncGroup PAC ID 0244370658, 5 clinicians

Practice addresses (Care Compare)

1652 Beecher Rd
Yorkville, IL 60560-5602
Phone (630) 553-9542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010608ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Le Vision Inc. Optometrist CurrentSince May 1, 2020 Accepting new patients
Advanced Family Eyecare Center of Bolingbrook,Inc. Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Ranjbar Eyecare Corp Optometrist Past Accepting new patients
Fisher-Swale-Nicholson Eye Center SC Optometrist PastSince May 3, 2013 Accepting new patients

Locations

480 W Boughton Rd
Bolingbrook, IL 60440
Phone (630) 759-6506

1652 Beecher Rd
Yorkville, IL 60560
Phone (630) 385-3201

Organizations & group practices 4

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1427306786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 RANDALL RD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773318",
            "telephone_number": "847-695-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 RANDALL RD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773318",
            "telephone_number": "847-695-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.