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DR. JAY ROSER EBBESEN OD
NPI 1801940580
Optometrist in Dekalb, IL

Active since January 22, 2007
121 E LOCUST ST, DEKALB, IL 60115(815) 756-6388(815) 756-4861 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jay Roser Ebbesen Od NPPES

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

DR. JAY ROSER EBBESEN OD (NPI 1801940580) is an individual optometrist in Dekalb, Illinois, licensed in Illinois (152W00000X) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1801940580
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAY ROSER EBBESENCredential: OD
Location Address121 E LOCUST STDekalb, IL 60115-3207
Mailing Address121 E Locust StDekalb, IL 60115-3207 · (815) 756-6388 · Fax (815) 756-4861
Phone(815) 756-6388
Fax(815) 756-4861
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1801940580 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 · 152W00000X
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.
121 E LOCUST ST, Dekalb, IL 60115
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Other Identifiers 4

Medicaid046-007326IL
Medicare NSC0648450001IL
Medicare PIN718830IL
Medicare UPINT38102IL

Other Providers at the Same Location NPPES 3

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

DR. STEPHEN JUDD STOREY O,D
Optometrist
121 E LOCUST ST
DEKALB, IL 60115
Dekalb County (815) 756-6388
DR. VICTOR F. VERBIC O.D.
Optometrist
121 E LOCUST ST
DEKALB, IL 60115
Dekalb County (815) 756-6388
DR. ROBERT E. SKABO O.D
Optometrist
121 E LOCUST ST
DEKALB, IL 60115
Dekalb County (815) 756-6388

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 Jay Ebbesen's NPI number?

The NPI number for Jay Ebbesen is 1801940580. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Jay Ebbesen located?

Jay Ebbesen practices at 121 E Locust St, Dekalb, IL 60115. The listed phone number is (815) 756-6388.

What is Jay Ebbesen's specialty?

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

When was this NPI record last updated?

The NPPES record for Jay Ebbesen was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.