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Jay Ebbesen, OD
NPI 1801940580 · on the registry since 2007 · sole proprietor
Practice
- Address
- 121 E Locust St
Dekalb, IL 60115 - Phone
- (815) 756-6388
- Fax
- (815) 756-4861
- Organisation at this address
- Dekalb Optometric Associates Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-09-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois