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

Jacob Conditt, OD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609490531

Jacob Conditt, OD is an Optometry in Chicago, Illinois. Graduated from Southern College of Optometry in 2020, 6 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois and Utah.

Years since qualifying
6
Trained at
Southern College of Optometry
Licensed in
IL, UT
In the registry since
2020
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

3500 W Peterson Ave Ste 401
Chicago, IL 60659-3307
Phone: (773) 588-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046011525 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 11785522-9934 (UT)

Record details

NPI number1609490531
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 6, 2020
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address2712 McDougald St, Newport, AR 72112-3014

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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