DR. JIRASAN SAKULSOM O.D.
NPI 1215120522
Optometrist in Chicago, IL

Q: What is Jirasan Sakulsom's NPI number?

The NPI number for Jirasan Sakulsom is 1215120522. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Jirasan Sakulsom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jirasan Sakulsom was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 20, 2007PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

2210 N CLARK ST, CHICAGO, IL 60614(773) 697-9100 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jirasan Sakulsom O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JIRASAN SAKULSOM O.D. (NPI 1215120522) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046.010489) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2007).

NPPES Registry Identity

NPI1215120522

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JIRASAN SAKULSOMCredential: O.D.

Location Address2210 N CLARK STChicago, IL 60614-3855

Mailing Address259 E Erie St, Suite 20-220Chicago, IL 60611

Phone(773) 697-9100

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2007

Enumeration DateAugust 20, 2007

Last NPPES UpdateNovember 16, 2022

NPPES CertifiedNovember 16, 2022

✔ NPI 1215120522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046.010489

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 systemic conditions affecting the eye. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2210 N CLARK ST, Chicago, IL 60614

Open in Google Maps ↗

Other Identifiers 1

Medicaid046010489IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jirasan Sakulsom O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577687615

PECOS Enrollment IDI20121003000172

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

125 services125 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

122 services122 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

47 services44 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

40 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A MATTER OF SIGHT, LLC

Optometrist

2210 N CLARK ST
CHICAGO, IL 60614

Cook County (773) 697-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jirasan Sakulsom's NPI number?

The NPI number for Jirasan Sakulsom is 1215120522. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Jirasan Sakulsom located?

Jirasan Sakulsom practices at 2210 N Clark St, Chicago, IL 60614. The listed phone number is (773) 697-9100.

What is Jirasan Sakulsom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jirasan Sakulsom enrolled in Medicare?

Yes. Jirasan Sakulsom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jirasan Sakulsom accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Jirasan Sakulsom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jirasan Sakulsom was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.