JNCK PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JNCK PC

Practice address

1107 College Ave
Quincy, IL 62301-2600

Phone

(217) 223-7834

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Courtney C Kvitle

Title

Authorized

Phone

(217) 223-7834

Specialties & licenses 1

Addresses

Other names 1

• Kvitle Eye Care Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

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

• Jason Michael Kvitle, O.D.

  • Optometrist
  • Quincy, IL
  • NPI 1356775720

  IL, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1528707403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 COLLEGE AVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012600",
            "telephone_number": "217-223-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 COLLEGE AVE",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012600",
            "telephone_number": "217-223-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNCK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "KVITLE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED",
        "authorized_official_telephone_number": "217-223-7834"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kvitle Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Jenkins-Dietrich, BS MHP
• Jerry Walker Therapy Services
• Jerry Walker Therapy Services Inc.
• Nicole Jeziorski
• JFM Sal LLC
• James Edward Johnson III, D.C.
• Lee Roy W Johnson, MD
• Linda M Johnson, M.D.
• Robert C Johnson, MD
• Tessa Jean Johnson, D.D.S.

• All providers in Quincy, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.