Individual provider Active NPI

Jenna Bacerra, OD

  • Optometrist
  • Burbank, IL
National Provider Identifier
1659263259
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011997 Issued in IL
Practice address
8525 S Harlem Ave
Burbank, IL 60459-2293
Phone
(708) 599-0050
NPI assigned
Jul 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.011997 IL Primary

Addresses

Primary practice location

8525 S Harlem Ave
Burbank, IL 60459-2293

Mailing address

121 W 63Rd St # D205
Westmont, IL 60559-2796

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
I20250904002970 IL Practitioner - Optometry 1759883259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Care Center, LTD.Group PAC ID 0143347047, 3 clinicians

Practice addresses (Care Compare)

8525 S Harlem Ave
Burbank, IL 60459-2293
Phone (708) 599-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.011997ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Care Center, LTD. Optometrist CurrentSince Jul 17, 2025 Accepting new patients
Albina Optometric Optometrist PastSince Jul 17, 2025 Accepting new patients

Locations

8525 S Harlem Ave
Oak Lawn, IL 60459
Phone (708) 599-0050

6300 Kingery Hwy
Ste 116
Willowbrook, IL 60527
Phone (630) 323-0222

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1659263259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 63RD ST # D205",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 S HARLEM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592293",
            "telephone_number": "708-599-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACERRA",
        "first_name": "JENNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

Verify at the official NPI Registry.