JEFFREY S PORTER OD PC
NPI 1356525489
Optometrist in Crystal Lake, IL

Q: What is Jeffrey S Porter Od PC's NPI number?

The NPI number for Jeffrey S Porter Od PC is 1356525489. It was assigned to this organization in the NPPES registry on December 26, 2007.

Q: What is Jeffrey S Porter Od PC's specialty?

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

Active since December 26, 2007

1205 S IL ROUTE 31, CRYSTAL LAKE, IL 60014(915) 477-4053(815) 477-4302 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeffrey S Porter Od Pc NPPES

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

JEFFREY S PORTER OD PC (NPI 1356525489) is a healthcare organization registered as an optometrist in Crystal Lake, Illinois and active in the NPI registry since December 2007. The organization lists Jeffrey Scott Porter, President, as its authorized official.

NPPES Registry Identity

NPI1356525489

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJEFFREY S PORTER OD PC

Location Address1205 S IL ROUTE 31Crystal Lake, IL 60014-8213

Mailing Address3912 Valley View RdCrystal Lake, IL 60012-2104 · (815) 479-9246

Phone(915) 477-4053

Fax(815) 477-4302

Organization SubpartNo

Authorized OfficialJeffrey Scott PorterPresident · (847) 323-8501

Enumeration DateDecember 26, 2007

Last NPPES UpdateAugust 20, 2020

NPPES CertifiedAugust 20, 2020

✔ NPI 1356525489 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 · 04608991

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.

1205 S IL ROUTE 31, Crystal Lake, IL 60014

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey S Porter Od Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffrey S Porter Od PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffrey Porter, O.D.

Optometry

NPI 1982747507

1205 S IL ROUTE 31
Crystal Lake, IL 60014

(815) 477-4053

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jeffrey S Porter Od PC's NPI number?

The NPI number for Jeffrey S Porter Od PC is 1356525489. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is Jeffrey S Porter Od PC located?

Jeffrey S Porter Od PC is located at 1205 S Il Route 31, Crystal Lake, IL 60014. The listed phone number is (915) 477-4053.

What is Jeffrey S Porter Od PC's specialty?

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

Is Jeffrey S Porter Od PC enrolled in Medicare?

Yes. Jeffrey S Porter Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffrey S Porter Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jeffrey S Porter Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jeffrey S Porter Od PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jeffrey S Porter Od PC 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 Jeffrey S Porter Od PC was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.