Active NPI
Jenna Bacerra, OD
- Optometrist
- Burbank, IL
National Provider Identifier
1659263259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046.011997 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Care Center, LTD. | Optometrist | Current | Accepting new patients |
| Albina Optometric | Optometrist | Past | 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.
-
- Optometrist
- Burbank, IL
- NPI 1619475852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.