Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAY ROSER EBBESEN, OD
Active Sole ProprietorDR. JAY ROSER EBBESEN, OD is a Optometrist healthcare provider located in DEKALB, Illinois. NPI 1801940580 is currently active in the NPPES registry. Verify at CMS.
Optometrist · DEKALB, IL
Registration Details
- NPI Number
- 1801940580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.579491978616 yrs)
- Last Updated
- Sep 21, 2011
- License
-
152W00000X (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 E LOCUST STDEKALB, IL, 601153207Browse IL providers · Browse ZIP 60115
- Phone
- 8157566388
- Fax
- 8157564861
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in DEKALB, IL
| Name | Credential | NPI |
|---|---|---|
| JEFF BRIAN FRANK | O.D. | 1871552174 |
| DR. STEPHEN JUDD STOREY | O,D | 1154475671 |
| DR. VICTOR F. VERBIC | O.D. | 1194939769 |
| DR. ROBERT E. SKABO | O.D | 1821277880 |
| SAKSHI SATA | OD | 1316633092 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.