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

Dr. Jirasan Sakulsom, OD

Individual provider Optometrist · NPI 1215120522

Dr. Jirasan Sakulsom, OD is an Optometry in Chicago, Illinois. Graduated from Illinois College of Optometry at Chicago in 2007, 19 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Trained at
Illinois College of Optometry at Chicago
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

2210 N Clark St
Chicago, IL 60614-3855
Phone: (773) 697-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 E Erie St, Chicago, IL 60611 — (312) 695-8150

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.010489 (IL)

Record details

NPI number1215120522
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2007 (19 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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