Individual provider Active NPI

Jency Marian Elakkatt, O.D.

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1730378647
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009421 Issued in IL
Practice address
1588 N Arlington Heights Rd
Arlington Heights, IL 60004-3906
Phone
(847) 392-9220
NPI assigned
Oct 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009421 IL Primary
Optometrist 152W00000X OPC6802 FL

Addresses

Primary practice location

1588 N Arlington Heights Rd
Arlington Heights, IL 60004-3906

Mailing address

926 W Stonehedge Dr
Addison, IL 60101-3159
Phone (312) 318-4626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190315002284 IL Practitioner - Optometry 1951641679 Reassigns benefits to 3 organizations
I20260416000611 FL Practitioner - Optometry 1951641679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Eye Physicians, LTDGroup PAC ID 9335229335, 7 clinicians

Practice addresses (Care Compare)

1588 N Arlington Heights Rd
Arlington Heights, IL 60004-3906
Phone (847) 392-9220

Merit-based Incentive Payment System (MIPS)

Final score
96.36 of 100Reported as group
Quality
100
Improvement activities
40
Cost
87.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6802FLMDOptometrist
046-009421ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Physicians, LTD CurrentSince Oct 21, 2024 Accepting new patients
Northwest Eye Physicians Surgery Suite LLC CurrentSince Oct 13, 2024 Accepting new patients

Locations

1588 N Arlington Heights Rd
#R
Arlington Heights, IL 60004
Phone (847) 392-9220

1588 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 392-8997

Interoperability endpoints

  • Direct secure messaging: jelkkatt@nweyemd.intellechartdirect.net

Organizations & group practices 6

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1730378647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W STONEHEDGE DR",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013159",
            "telephone_number": "312-318-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 N ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043906",
            "telephone_number": "847-392-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAKKATT",
        "first_name": "JENCY",
        "middle_name": "MARIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009421",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.