Individual provider Active NPI

Michele A Jurkovic, OD

  • Optometrist
  • Sycamore, IL
National Provider Identifier
1588767024
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008623 Issued in IL
Practice address
2570 Dekalb Ave
Sycamore, IL 60178-3109
Phone
(815) 758-2020
Fax
(815) 756-8843
NPI assigned
Sep 7, 2006
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008623 IL Primary

Addresses

Primary practice location

2570 Dekalb Ave
Sycamore, IL 60178-3109

Mailing address

2570 Dekalb Ave
Sycamore, IL 60178-3109
Phone (815) 758-2020

Other identifiers 1

IdentifierTypeStateIssuer
01925837OtherBCBS

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
I20101021000996 IL Practitioner - Optometry 3577678309 Practice locations: Sycamore, IL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2810 Dekalb Ave
Sycamore, IL 60178-3117
Phone (815) 758-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046008623ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michele a Jurkovic Optometrist CurrentSince Aug 1, 1999 Accepting new patients

Locations

2570 DeKalb Ave
Sycamore, IL 60178
Phone (815) 756-2222

2810 DeKalb Ave
Sycamore, IL 60178
Phone (815) 758-2020

Organizations & group practices 1

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1588767024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783109",
            "telephone_number": "815-758-2020",
            "fax_number": "815-756-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783109",
            "telephone_number": "815-758-2020",
            "fax_number": "815-756-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKOVIC",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01925837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.