Jocelyn E Basco, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.0009815 Issued in IL

Practice address

2410 Sampson St
BLDG. 237
Great Lakes, IL 60088-2942

Phone

(847) 688-5317

Fax

(847) 688-2293

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stein Optical Inc.

  • Optometrist
  • Milwaukee, WI
  • NPI 1801829551
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720067259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 56TH AVE",
            "address_2": "UNIT 206",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444915",
            "telephone_number": "262-657-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMPSON ST",
            "address_2": "BLDG. 237",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600882942",
            "telephone_number": "847-688-5317",
            "fax_number": "847-688-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCO",
        "first_name": "JOCELYN",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.0009815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Daniel Attonito, MD
• Emily J Baker, DPT
• Mary Beth Barr, M.D.
• Alica Kelly Bartlett, WHNP
• Thomas Peter Barton, DDS
• Ryan David Bastyr, DMD
• Lance Scott Baumgarten, DDS
• BDC Kansas City
• Bryan James Behm, D.D.S.
• Lafayette Baron Belk Jr., DDS

• Optometrist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.