Joshua Mark Dudek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.011847 Issued in IL

Practice address

320 N Ladd St
Pontiac, IL 61764-1612

Phone

(815) 842-4304

NPI assigned

Jan 18, 2024

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 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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairbury Vision Center LLCGroup PAC ID 7719209345, 4 clinicians

Pontiac Family Eye Care LLCGroup PAC ID 5395068266, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fairbury Vision Center LLC

  • Optometrist
  • Fairbury, IL
  • NPI 1144639105
  Medicare reassignment Care Compare group NPD
• Pontiac Family Eye Care LLC

  • Optometrist
  • Pontiac, IL
  • NPI 1700286143
  Medicare reassignment Care Compare group NPD
• Marion Eye Centers LTD.

  • Ophthalmology Physician
  • Marion, IL
  • NPI 1508865643
  Medicare reassignment
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1508627449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N LADD ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641612",
            "telephone_number": "815-842-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N LADD ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641612",
            "telephone_number": "815-842-4304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Aspen Ct",
            "address_purpose": "LOCATION",
            "city": "Fairbury",
            "state": "IL",
            "postal_code": "617391487",
            "country_code": "US",
            "telephone_number": "815-692-2415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDEK",
        "first_name": "JOSHUA",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.011847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diemer
• Teresa Diemer, BS, CADC, MHP
• Madeline Dohleman, MHP
• Becky Dotterer
• Lia Ellise Draper, MS CCC-SLP
• Duffy-Baier-Snedecor Ambulance Service LLC
• Amy Duffy, LCPC
• Gloria J Duy, RD, LDN
• Kimber Marian Edelman, COTA/L
• Junior Lynn Elling, OTR/L, MHA

• Optometrist in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; 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.