Dr. Jay Roser Ebbesen is a Dekalb, Illinois based male Optometrist with 44 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jay Roser Ebbesen is 152W00000X for Optometry in Illinois. Dr. Jay Roser Ebbesen examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jay Roser Ebbesen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
44+ years
Medical School Attended:
Illinois College Of Optometry At Chicago
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
121 E Locust St, Dekalb, Illinois, 60115-3207
Phone:
815-756-6388
Fax:
815-756-4861
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597826040
Enrollment ID:
I20081203000370
NPI Number:
1801940580
NPI Enumeration Date:
22 Jan, 2007
NPI Last Update On:
21 Sep, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jay Roser Ebbesen are as mentioned below.
License Number
Specialization
State
Status
152W00000X
Optometry
Illinois
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jay Roser Ebbesen has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Dekalb Optometric Associates, Pc (7911068598)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jay Roser Ebbesen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
046-007326
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
121 E Locust St, Dekalb, Illinois
Zip:
60115-3207
Phone Number:
815-756-6388
Fax Number:
815-756-4861
Patients can reach Dr. Jay Roser Ebbesen at 121 E Locust St, Dekalb, Illinois or can call to book an appointment on 815-756-6388. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.