Juckett Eye Care Center LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007733 Issued in IL

Legal business name

JUCKETT EYE CARE CENTER LTD

Practice address

133 S Northwest Hwy
Park Ridge, IL 60068-4228

Phone

(847) 384-2020

Fax

(847) 823-2020

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Shedd Juckett Jr., ODNPI 1285792168

Title

President

Phone

(847) 384-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Shedd Juckett Jr., O.D.

  • Optometrist
  • Park Ridge, IL
  • NPI 1285792168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1881965523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684228",
            "telephone_number": "847-384-2020",
            "fax_number": "847-823-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684228",
            "telephone_number": "847-384-2020",
            "fax_number": "847-823-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUCKETT EYE CARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "JUCKETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHEDD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-384-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheetal Joshipura-CHI, MD
• Joy Wellness Inc
• Cathy Lynn A Joyce, M.D.
• Eileen Claire Joyce, MSW
• Kaylee Ann Joyce, M.S., CCC-SLP
• Robert Shedd Juckett Jr., O.D.
• James D Judge, P.T.
• Judith a. Holmes, PHD., P.C.
• Julie Cain Therapy Services PLLC
• David Youngsik Jun, MD

• Optometrist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.