Individual provider Active NPI

Jason A Dunn, O.D.

  • Optometrist
  • Normal, IL
National Provider Identifier
1346538154
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010487 Issued in IL
Practice address
1607 Visa Dr
Suite 4
Normal, IL 61761-2137
Phone
(309) 454-2472
Fax
(309) 454-3029
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010487 IL Primary

Addresses

Primary practice location

1607 Visa Dr
Suite 4
Normal, IL 61761-2137

Mailing address

1607 Visa Dr
Suite 4
Normal, IL 61761-2137
Phone (309) 454-2472

Other identifiers 1

IdentifierTypeStateIssuer
046010487OtherILSTATE OF ILLINOIS LICENSE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111101000295 IL Practitioner - Optometry 1951574391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionpoint Eye Center LLCGroup PAC ID 0749522092, 15 clinicians

Practice addresses (Care Compare)

1107 Airport Rd
Bloomington, IL 61704-2544
Phone (309) 662-7700

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as group
Quality
97.66
Improvement activities
40
Cost
73.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010487ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-State Eye Partners Inc Optometrist CurrentSince Dec 29, 2018 Accepting new patients
Mid-State Eye Partners Inc Optometrist CurrentSince Dec 29, 2018 Accepting new patients
Visionpoint Eye Center LLC Optometrist CurrentSince Jun 15, 2019 Accepting new patients

Locations

1107 Airport Rd
Bloomington, IL 61704
Phone (309) 662-7700

125 W Main St
Clinton, IL 61727
Phone (217) 935-9451

102 N Heinlein Dr
Shelbyville, IL 62565
Phone (217) 774-4422

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1346538154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 VISA DR",
            "address_2": "SUITE 4",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612137",
            "telephone_number": "309-454-2472",
            "fax_number": "309-454-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 VISA DR",
            "address_2": "SUITE 4",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612137",
            "telephone_number": "309-454-2472",
            "fax_number": "309-454-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS LICENSE",
            "identifier": "046010487",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.