Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Leo Stallbaumer, OD

Individual provider Optometrist · NPI 1528581527

Dr. Jacob Leo Stallbaumer, OD is an Optometry in Chicago, Illinois. Graduated from Southern College of Optometry in 2017, 9 years ago. Practices with Myeyedr Optometry of Illinois LLC, a 67-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
9
Trained at
Southern College of Optometry
Licensed in
IL, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1130 W Madison St
Chicago, IL 60607-2023
Phone: (312) 226-7200
Fax: (312) 226-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 370 Houbolt Rd Ste 102, Joliet, IL 60431-8303 — (815) 729-9143

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011248 (IL)
Optometrist Taxonomy 152W00000X · Licence 3401 (TN)

Record details

NPI number1528581527
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2017 (9 years in practice)
Group practice Myeyedr Optometry Of Illinois Llc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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