Organization Active NPI

Looking Out Vision, P.C.

  • Optometrist
  • Morris, IL
National Provider Identifier
1619662111
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOOKING OUT VISION, P.C.
Practice address
124 E Jefferson St
Morris, IL 60450-2102
Phone
(815) 942-1951
Fax
(915) 942-1958
NPI assigned
Apr 10, 2023
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Dr. Jennifer Jacobs, O.D.NPI 1366554826
Title
Owner
Phone
(815) 302-5232

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

124 E Jefferson St
Morris, IL 60450-2102

Mailing address

124 E Jefferson St
Morris, IL 60450-2102
Phone (815) 942-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230908002391 IL Part B Supplier - Clinic/Group Practice 4082078076 Receives reassigned benefits from 2 practitioners
Practice locations: Morris, IL
O20241230001089 IL DME Supplier - Physician - OptometristDME Supplier - Optician 4082078076 Practice locations: Morris, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Looking Out Vision PC124 E Jefferson St, Morris, IL 60450-2102(815) 942-1951 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 1, 2023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1619662111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502102",
            "telephone_number": "815-942-1951",
            "fax_number": "915-942-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502102",
            "telephone_number": "815-942-1951",
            "fax_number": "915-942-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING OUT VISION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-302-5232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.