Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jay Roser Ebbesen, OD

Individual provider Optometrist · NPI 1801940580

Dr. Jay Roser Ebbesen, OD is an Optometrist in Dekalb, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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

121 E Locust St
Dekalb, IL 60115-3207
Phone: (815) 756-6388
Fax: (815) 756-4861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 152W00000X (IL)

Record details

NPI number1801940580
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESSeptember 21, 2011

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