Individual provider Active NPI

Dean E Bishop Jr., OD

  • Optometrist
  • Jerseyville, IL
National Provider Identifier
1962483784
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
110 S State St
Jerseyville, IL 62052-1853
Phone
(618) 498-8187
Fax
(618) 498-8190
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

110 S State St
Jerseyville, IL 62052-1853

Mailing address

110 S State St
Jerseyville, IL 62052-1853
Phone (618) 498-8187

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
I20080409000629 IL Practitioner - Optometry 9436236825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

301 S Jefferson St
Jerseyville, IL 62052-1838
Phone (618) 498-8187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008651ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bishop Family Eyecare LTD Optometrist CurrentSince May 26, 2000 Accepting new patients

Locations

301 S Jefferson St
Jerseyville, IL 62052
Phone (618) 498-8187

Organizations & group practices 1

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962483784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521853",
            "telephone_number": "618-498-8187",
            "fax_number": "618-498-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521853",
            "telephone_number": "618-498-8187",
            "fax_number": "618-498-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DEAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

Verify at the official NPI Registry.