Individual provider Active NPI

Jennifer Pyle, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1568033652
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003341 Issued in GA
Practice address
3393 Peachtree Rd NE
Atlanta, GA 30326-1162
Phone
(770) 727-0772
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OPT003341 GA Primary

Addresses

Primary practice location

3393 Peachtree Rd NE
Atlanta, GA 30326-1162

Mailing address

670 Dekalb Ave SE Unit 4217
Atlanta, GA 30312-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220322002321 GA Practitioner - Optometry 6204221617
I20231025001417 IL Practitioner - Optometry 6204221617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocular Partners PLLCGroup PAC ID 7113829532, 20 clinicians

Practice addresses (Care Compare)

2640 W 183Rd St
Homewood, IL 60430-2914
Phone (708) 798-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003341GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocular Partners PLLC CurrentSince Oct 1, 2023 Accepting new patients
Arbor Center for Eyecare Current Accepting new patients

Locations

5086 N Elston Ave
Chicago, IL 60630
Phone (773) 282-2000

1525 E 53rd St
Ste 1002
Chicago, IL 60615
Phone (773) 288-2020

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

1431 N Western Ave
Chicago, IL 60622
Phone (312) 633-5866

2640 183rd St
Homewood, IL 60430
Phone (708) 798-6633

11600 S Kedzie Ave
Ste C
Merrionette Park, IL 60803
Phone (708) 388-4400

11600 S Kedzie Ave
Ste H
Merrionette Park, IL 60803
Phone (708) 377-3730

9731 165th St
Ste 31
Orland Park, IL 60467
Phone (708) 364-0020

Interoperability endpoints

  • Direct secure messaging: jpyle@opillinois.intellechartdirect.net

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1568033652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 DEKALB AVE SE UNIT 4217",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261162",
            "telephone_number": "770-727-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLE",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.