Jovan Alavanja, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003775A Issued in IN

Practice address

10823 Broadway
Crown Point, IN 46307-7303

Phone

(219) 310-8032

Fax

(219) 789-9775

NPI assigned

May 21, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crown Point EyecareGroup PAC ID 4183983489, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crown Point Eye Care

  • Optometrist
  • Crown Point, IN
  • NPI 1023535523
  Medicare reassignment Care Compare group Authorized official
• 21 North Kids LLC

  • Optometrist
  • Valparaiso, IN
  • NPI 1811744626
  NPD
• Andrew F. Mansueto, O.D.

  • Eyewear Supplier
  • Dyer, IN
  • NPI 1376712232
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285070037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 HILLSIDE DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463752390",
            "telephone_number": "219-789-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10823 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077303",
            "telephone_number": "219-310-8032",
            "fax_number": "219-789-9775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Washington St",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463834778",
            "country_code": "US",
            "telephone_number": "219-286-7007",
            "fax_number": "219-286-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAVANJA",
        "first_name": "JOVAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003775A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Aiello, NP
• Oluwadamilola A Ajasa
• Ahmed Akhter, M.D.
• Monisola Akiwowo, OTD, OTR
• Evelyn Alamo
• Devin Lee Alberson, APRN
• Michelle Albright, MSW
• Madeline Aldrich
• Jenna N Alfaro, MSW, LCSW
• Ridaa Ali, D.O.

• Optometrist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.