Organization Active NPI

Dr. Dennis Jahovic & Associates,P.C.

  • Optometrist
  • Merrillville, IN
National Provider Identifier
1063608628
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003033A Issued in IN
Legal business name
DR. DENNIS JAHOVIC & ASSOCIATES,P.C.
Practice address
2621 E 80TH Ave
Merrillville, IN 46410-5761
Phone
(219) 942-6979
Fax
(219) 942-5125
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dennis Jahovic, O.D.NPI 1184731812
Title
President/Optometrist
Phone
(219) 942-6979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18003033A IN Primary

Addresses

Primary practice location

2621 E 80TH Ave
Merrillville, IN 46410-5761

Mailing address

2621 E 80TH Ave
Merrillville, IN 46410-5761
Phone (219) 942-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000221 IN Part B Supplier - Clinic/Group Practice 0840459848 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN; Highland, IN

National Provider Directory

National Provider Directory

Locations

10351C Indianapolis Blvd
Highland, IN 46322
Phone (219) 922-1889

10351C Indianapolis Blvd
Ste C
Highland, IN 46322
Phone (219) 922-1915

10351 Indianapolis Blvd
#C
Highland, IN 46322
Phone (219) 922-1889

2621 E 80th Ave
Merrillville, IN 46410
Phone (219) 922-1915

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1063608628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 E 80TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105761",
            "telephone_number": "219-942-6979",
            "fax_number": "219-942-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 E 80TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105761",
            "telephone_number": "219-942-6979",
            "fax_number": "219-942-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DENNIS JAHOVIC & ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "JAHOVIC",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "219-942-6979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.