Individual provider Active NPI

Jami Hager Didier, OD

  • Optometrist
  • Bolingbrook, IL
National Provider Identifier
1568801710
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010686 Issued in IL
Practice address
480 W Boughton Rd
Bolingbrook, IL 60440-1890
Phone
(630) 759-6506
Fax
(630) 759-6651
NPI assigned
Jun 20, 2013
Last updated
Mar 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010686 IL Primary

Addresses

Primary practice location

480 W Boughton Rd
Bolingbrook, IL 60440-1890

Mailing address

480 W Boughton Rd
Bolingbrook, IL 60440-1890
Phone (630) 759-6506

Other names 1

  • Dr. Jami Hager Professional name

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
I20130816000664 IL Practitioner - Optometry 7214179449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Eyecare Center of Bolingbrook,Inc.Group PAC ID 2668633504, 3 clinicians

Practice addresses (Care Compare)

480 W Boughton Rd
Bolingbrook, IL 60440-1890
Phone (630) 759-6506

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010686ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Eyecare Center of Bolingbrook,Inc. Optometrist CurrentSince Jan 1, 2014 Accepting new patients
Dr William B Brand S.C. Optometrist Past Accepting new patients

Locations

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

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, 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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1568801710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401890",
            "telephone_number": "630-759-6506",
            "fax_number": "630-759-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401890",
            "telephone_number": "630-759-6506",
            "fax_number": "630-759-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDIER",
        "first_name": "JAMI",
        "middle_name": "HAGER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMI",
            "last_name": "HAGER",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.