Jay Roser Ebbesen is a Optometrist in Dekalb, Illinois. Jay Roser Ebbesen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jay Roser Ebbesen is 1801940580. The last update date is 2011-09-21.
Jay Roser Ebbesen's current location address is 121 E Locust St, Dekalb, Illinois. You can contact this provider via phone number 8157566388 and fax number 8157564861. The mailing address for Jay Roser Ebbesen is 121 E Locust St, Dekalb, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Roser Ebbesen |
|---|---|
| Address | 121 E Locust St, Dekalb, Illinois |
| Phone Number | 8157566388 |
| Fax Number | 8157564861 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1801940580 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2011-09-21 |
Provider Mailing Address Detail
| Address | 121 E Locust St |
|---|---|
| City | Dekalb |
| State | Illinois (IL) |
| Post Code | 601153207 |
| Phone Number | 8157566388 |
| Fax Number | 8157564861 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 152W00000X |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 046-007326 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jay Roser Ebbesen by the Centers for Medicare & Medicaid Services?
The Jay Roser Ebbesen has been issued the NPI (National Provider Identifier) 1801940580, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jay Roser Ebbesen's facilities are geographically located?
The facilities of Jay Roser Ebbesen are physically situated at the following location: 121 E Locust St, Dekalb, IL, 601153207.
What is Jay Roser Ebbesen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jay Roser Ebbesen is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801940580 to Jay Roser Ebbesen?
The Jay Roser Ebbesen received its 1801940580 assignment from the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the Jay Roser Ebbesen's information last updated?
The Jay Roser Ebbesen's information was last updated on 2011-09-21.