Jacobsen Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JACOBSEN EYE CARE LLC

Practice address

704 Crosstown Ave
Silvis, IL 61282-1651

Phone

(309) 796-1444

Fax

(309) 796-1444

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paula Inez Jacobsen, ODNPI 1790771384

Title

Sole Member

Phone

(309) 796-1444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paula I Jacobsen, O.D.

  • Optometrist
  • Silvis, IL
  • NPI 1790771384
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Loretta Murphy Dunne, O.D.

  • Optometrist
  • Dubuque, IA
  • NPI 1639456411

  IL

  Medicare reassignment Care Compare group NPD
• Michael Gerald Hoerres, O.D.

  • Optometrist
  • Silvis, IL
  • NPI 1316932171
  Medicare reassignment NPD

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1992488613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CROSSTOWN AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821651",
            "telephone_number": "309-796-1444",
            "fax_number": "309-796-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CROSSTOWN AVE",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821651",
            "telephone_number": "309-796-1444",
            "fax_number": "309-796-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSEN EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "309-796-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney N Hughes, ARNP
• Hy-Vee Inc (Hy-Vee Pharmacy (1600))
• Illini Clinic Pharmacy Inc
• Illini Clinic Pharmacy Inc (Illini Clinic Pharmacy)
• Illini MRI LLC
• Paula I Jacobsen, O.D.
• Jennifer Marie Jensen, RPH
• Freda Mae Diasanta Jordan, RPT
• Helen Kapsas, D.O.
• Lindsey Lee Karzin, NP

• Optometrist in Silvis, IL
• Providers in Silvis, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.