Individual provider Active NPI

Jeff Brian Frank, O.D.

  • Optometrist
  • Dekalb, IL
National Provider Identifier
1871552174
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009566 Issued in IL
Practice address
3201 Commerce Drive
Dekalb, IL 60115
Phone
(815) 758-1039
Fax
(815) 756-1396
NPI assigned
Mar 23, 2006
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 046009566 IL Primary

Addresses

Primary practice location

3201 Commerce Drive
Dekalb, IL 60115

Mailing address

3201 Commerce Drive
Dekalb, IL 60115
Phone (773) 636-5363

Other identifiers 1

IdentifierTypeStateIssuer
046009566MedicaidIL

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
I20040426001683 IL Practitioner - Optometry 2668469362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spex Express IncGroup PAC ID 8224019450, 3 clinicians

Practice addresses (Care Compare)

2570 Dekalb Ave
Sycamore, IL 60178-3109

3201 Commerce Dr
Dekalb, IL 60115-8491
Phone (815) 758-1039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009566ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spex Express Inc Optometrist CurrentSince Apr 1, 2004 Accepting new patients
Special Eyes Optometrist Past Accepting new patients

Locations

3201 Commerce Dr
DeKalb, IL 60115
Phone (815) 758-1039

2570 DeKalb Ave
Sycamore, IL 60178
Phone (815) 756-2222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1871552174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 COMMERCE DRIVE",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "773-636-5363",
            "fax_number": "815-756-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 COMMERCE DRIVE",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "60115",
            "telephone_number": "815-758-1039",
            "fax_number": "815-756-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "JEFF",
        "middle_name": "BRIAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009566",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.