Individual provider Active NPI

Tijana Markovic, OD

  • Optometrist
  • Rockford, IL
National Provider Identifier
1609603448
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011891 Issued in IL
Practice address
575 S Perryville Rd Ste 119
Rockford, IL 61108-2530
Phone
(779) 210-8133
Fax
(815) 329-6128
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 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 046011891 IL Primary

Addresses

Primary practice location

575 S Perryville Rd Ste 119
Rockford, IL 61108-2530

Mailing address

575 S Perryville Rd Ste 119
Rockford, IL 61108-2530
Phone (779) 210-8133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250102000062 IL Practitioner - Optometry 4880121987 Reassigns benefits to 1 organization
I20250403002163 WI Practitioner - Optometry 4880121987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shah Vision Consultants IncGroup PAC ID 0941422406, 3 clinicians

Practice addresses (Care Compare)

2900 Deerfield Dr
Suite 168
Janesville, WI 53546-3559
Phone (608) 554-2807

575 S Perryville Rd
Rockford, IL 61108-2530
Phone (815) 315-9358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Vision Consultants Inc Optometrist CurrentSince Nov 1, 2024 Accepting new patients

Locations

2335 Sycamore Rd
DeKalb, IL 60115
Phone (779) 365-5001

575 S Perryville Rd
Ste 119
Rockford, IL 61108
Phone (779) 210-8133

575 S Perryville Rd
Rockford, IL 61108
Phone (815) 315-9358

2900 Deerfield Dr
Ste 168
Janesville, WI 53546
Phone (608) 554-0268

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1609603448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S PERRYVILLE RD STE 119",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082530",
            "telephone_number": "779-210-8133",
            "fax_number": "815-329-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S PERRYVILLE RD STE 119",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082530",
            "telephone_number": "779-210-8133",
            "fax_number": "815-329-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "TIJANA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.