Jennifer Dungan OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JENNIFER DUNGAN OD PLLC

Doing business as

Bright Eyes Family Eye Care
Dungan Family Eye Care

Practice address

2028 E Riverside Blvd Ste 101F
Loves Park, IL 61111-4800

Phone

(815) 708-8382

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer Dungan, ODNPI 1427212513

Title

Owner/Optometrist

Phone

(815) 742-8064

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Bright Eyes Family Eye Care Doing business as
• Dungan Family Eye Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Jennifer Dungan, OD

  • Optometrist
  • Loves Park, IL
  • NPI 1427212513
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1306561451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E RIVERSIDE BLVD STE 101F",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114800",
            "telephone_number": "815-708-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E RIVERSIDE BLVD STE 101F",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114800",
            "telephone_number": "815-708-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER DUNGAN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "DUNGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "815-742-8064",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010092",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306561451",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EyePegasus.com",
            "affiliation": "N",
            "address_1": "2028 E Riverside Blvd Ste 101F",
            "city": "Loves Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611114800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bright Eyes Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dungan Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Jankowski, M.ED, ATC
• Javid Iqbal
• John M. Jaworowicz, M.D.
• Reginald Jean Gilles
• Jeffrey Dannatt LTD
• John V Kim DDS PC
• Matthew Russell Johnsom, EMT
• Terry Joiner, DDS
• Jessica Jordan
• Onyinyechi Chinyere Kalagbor, MD

• Optometrist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.