JACKSONEYE SC
NPI 1073669834
Ophthalmology in Lake Villa, IL
NPI Status: Active since January 26, 2007
Contact Information
300 N MILWAUKEE AVE
SUITE L
LAKE VILLA, IL
ZIP 60046
Phone: (847) 356-0700
Fax: (847) 356-0757
- Organization
- Ophthalmology
- Accepts Insurance
- CLIA Number: 14D2015913
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-08-2026
About JACKSONEYE SC
This page provides the complete NPI Profile along with additional information for Jacksoneye Sc, a provider established in Lake Villa, Illinois operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1073669834 assigned on January 2007. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mitchell Alin Jackson Md (Ceo Owner)
- NPI
- 1073669834
- Provider Name
- JACKSONEYE SC
- Entity Type
- Organization
- Location Address
- 300 N MILWAUKEE AVE SUITE L LAKE VILLA, IL 60046
- Location Phone
- (847) 356-0700
- Location Fax
- (847) 356-0757
- Mailing Address
- 300 N MILWAUKEE AVE SUITE L LAKE VILLA, IL 60046
- Mailing Phone
- (847) 356-0700
- Mailing Fax
- (847) 356-0757
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Ophthalmologists like Jacksoneye Sc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0004932263 | OTHER (01) | IL | BCBS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2015913
- Facility Type
- Physician Office
- Certificate Effective Date
- February 09, 2024
- Certificate Expiration Date
- February 08, 2026
- Laboratory Director
- MITCHELL A. JACKSON M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jacksoneye Sc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for JACKSONEYE SC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 6 | 6 | 9 | 8 | 3 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 12 | 6 | 18 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 2 + 6 + 1 + 8 + 8 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1073669834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. KIMBERLY LYNN MORSTADT MD
Family Medicine
300 N MILWAUKEE AVE
SUITE D
LAKE VILLA, IL
ZIP 60046
DR. TERRYLL ELI JOY MD
Family Medicine
300 N MILWAUKEE AVE
SUITE D
LAKE VILLA, IL
ZIP 60046
DR. MITCHELL ALIN JACKSON MD
Ophthalmology
300 N MILWAUKEE AVE
SUITE L JACKSONEYE SC
LAKE VILLA, IL
ZIP 60046
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073669834, enumerated as an "organization" on January 26, 2007.
The provider is located at 300 N MILWAUKEE AVE SUITE L LAKE VILLA, IL 60046 and the phone number is (847) 356-0700.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
