MEDICARE: JOCELYN E BASCO O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046.0009815	IL

General Provider Information

NPI Number	:	1720067259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN E BASCO O.D.

Provider Business Mailing Address
First Line	:	3111 56TH AVE
Second Line	:	UNIT 206
City	:	KENOSHA
State	:	WI
Zip	:	53144-4915
Country	:	US
Telephone Number	:	262-657-7421
Fax Number	:

Provider Business Practice Location Address
First Line	:	2410 SAMPSON ST
Second Line	:	BLDG. 237
City	:	GREAT LAKES
State	:	IL
Zip	:	60088-2942
Country	:	US
Telephone Number	:	847-688-5317
Fax Number	:	847-688-2293

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1225690670 — DR. JIN WUNG HWANG DMD
Practice Location Address:

2410 SAMPSON ST
GREAT LAKES, IL
60088-2942

Practice Phone: 847-688-2469
Practice Fax:

1225963580 — DR. QUINTEN THOMAS REASONER DDS
Practice Location Address:

2410 SAMPSON ST
GREAT LAKES, IL
60088-2942

Practice Phone: 847-688-2469
Practice Fax:

1366431504 — DR. DEBORAH JEANNE GALEN M.D.
Practice Location Address:

2410 SAMPSON ST , FISHER CLINIC, BLDG 237
GREAT LAKES, IL
60088-2942

Practice Phone: 847-688-5556
Practice Fax: 847-688-2512

1316917370 — DR. HUDSON GUY MOTLEY DDS
Practice Location Address:

2410 SAMPSON ST , DENTAL CLINIC
GREAT LAKES, IL
60088-2942

Practice Phone: 847-688-3620
Practice Fax: 847-688-6259

1235197385 — DR. RICHARD ALAN STRNAD DO10
Practice Location Address:

2410 SAMPSON ST
GREAT LAKES, IL
60088-2942

Practice Phone: 847-688-5556
Practice Fax: 847-688-2512

1477666527 — JOHN FRANCIS NOVAK D.C.
Practice Location Address:

2410 SAMPSON ST , BLDG 237
GREAT LAKES, IL
60088-2942

Practice Phone: 847-688-3598
Practice Fax:

Directions to “ JOCELYN E BASCO O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.