DR. ROBERT SHEDD JR. JUCKETT (O.D.) – Optometrist, NPI 1285792168

DR. ROBERT SHEDD JR. JUCKETT (O.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. The NPI Number for DR. ROBERT SHEDD JR. JUCKETT (O.D.) is 1285792168

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT SHEDD JR. JUCKETT (O.D.)
NPI
1285792168
Phone
(847) 384-2020
Address
133 S NORTHWEST HWY
Enumeration Date
4 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473842020
Graduation Year
1984 (42 years ago)
PAC ID
4688836315
Professional Enrollment ID
I20120425000753
Address ID
IL600684228PA133XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. ROBERT SHEDD JR. JUCKETT (O.D.)

  • 133, South Northwest Highway, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 600684228

    Phone: (847) 384-2020

    Fax: (847) 823-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120425000753IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system108106$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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Reviews

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Frequently asked questions

Where can patients find DR. ROBERT SHEDD JR. JUCKETT (O.D.)'s NPI?
You can confirm DR. ROBERT SHEDD JR. JUCKETT (O.D.) with NPI 1285792168; it appears in the national provider directory.
Does this profile mean DR. ROBERT SHEDD JR. JUCKETT (O.D.) is currently active?
Yes — DR. ROBERT SHEDD JR. JUCKETT (O.D.) appears active in the national provider directory.
Does DR. ROBERT SHEDD JR. JUCKETT (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. ROBERT SHEDD JR. JUCKETT (O.D.). Clinical services aligned with this taxonomy classification.
Does DR. ROBERT SHEDD JR. JUCKETT (O.D.) practice in Illinois?
You will see Park Ridge, Illinois on file for DR. ROBERT SHEDD JR. JUCKETT (O.D.) alongside any extra practice locations.
How can I contact DR. ROBERT SHEDD JR. JUCKETT (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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