Active NPI
Michele A Jurkovic, OD
- Optometrist
- Sycamore, IL
National Provider Identifier
1588767024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008623
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01925837 | Other | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 046008623 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele a Jurkovic | Optometrist | Current | 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.
-
- Durable Medical Equipment & Medical Supplies
- Sycamore, IL
- NPI 1700026929
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.