Individual provider Active NPI

Amela Jakupovic

  • Optometrist
  • Glenview, IL
National Provider Identifier
1467081919
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011419 Issued in IL
Practice address
1346 Patriot Blvd
Glenview, IL 60026-7777
Phone
(847) 729-5050
Fax
(224) 521-2995
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011419 IL Primary

Addresses

Primary practice location

1346 Patriot Blvd
Glenview, IL 60026-7777

Mailing address

1346 Patriot Blvd
Glenview, IL 60026-7777
Phone (847) 729-5050

Other practice location 1

312 Tri State Pkwy Ste 100
Gurnee, IL 60031-5283
Phone (847) 623-3937

Other practice location 2

2000 Central St
Evanston, IL 60201-2218
Phone (847) 864-0300

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
I20200714003369 IL Practitioner - Optometry 5193148716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosin Optical Co IncGroup PAC ID 8022921758, 51 clinicians

Practice addresses (Care Compare)

6235 Cermak Rd
Berwyn, IL 60402-2370
Phone (708) 748-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011419ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jul 13, 2020 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Jul 13, 2020 Accepting new patients
Rosin Optical Co., Inc. CurrentSince Jan 1, 2025 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

3627 N Western Ave
Chicago, IL 60618
Phone (773) 525-2022

2842 N Sheridan Rd
Chicago, IL 60657
Phone (773) 525-8700

145 Ogden Ave
Downers Grove, IL 60515
Phone (630) 749-2020

1114 W Devon Ave
Elk Grove Village, IL 60007
Phone (847) 895-7222

522 Dempster St
Evanston, IL 60202
Phone (847) 864-5200

2000 Central St
Evanston, IL 60201
Phone (847) 864-0300

1346 Patriot Blvd
Glenview, IL 60026
Phone (847) 729-5050

146 Center St
Ste 200
Grayslake, IL 60030
Phone (773) 736-6800

1475 N Dilleys Rd
Ste 4
Gurnee, IL 60031
Phone (847) 856-3939

312 Tri State Pkwy
Ste 100
Gurnee, IL 60031
Phone (847) 623-3937

463 Central Ave
Highland Park, IL 60035
Phone (847) 266-6400

950 W State Route 22
Lake Zurich, IL 60047
Phone (847) 726-2020

122 N Oak Park Ave
Oak Park, IL 60301
Phone (708) 524-2020

55 E Main St
Roselle, IL 60172
Phone (630) 529-0993

875 N Milwaukee Ave
Unit 300
Vernon Hills, IL 60061
Phone (847) 325-4440

1979 Huntley Rd
West Dundee, IL 60118
Phone (847) 836-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1467081919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 PATRIOT BLVD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267777",
            "telephone_number": "847-729-5050",
            "fax_number": "224-521-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 PATRIOT BLVD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267777",
            "telephone_number": "847-729-5050",
            "fax_number": "224-521-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Tri State Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gurnee",
            "state": "IL",
            "postal_code": "600315283",
            "country_code": "US",
            "telephone_number": "847-623-3937",
            "fax_number": "847-623-9836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Central St",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602012218",
            "country_code": "US",
            "telephone_number": "847-864-0300",
            "fax_number": "844-769-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKUPOVIC",
        "first_name": "AMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.