Individual provider Active NPI

Julie A Dabkowski, O.D.

  • Optometrist
  • Michigan City, IN
National Provider Identifier
1659331304
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002510 Issued in IN
Practice address
2701 Franklin St
Michigan City, IN 46360-6137
Phone
(219) 873-2977
Fax
(219) 873-2953
NPI assigned
Mar 26, 2006
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002510 IN Primary

Addresses

Primary practice location

2701 Franklin St
Michigan City, IN 46360-6137

Mailing address

2701 Franklin St
Michigan City, IN 46360-6137
Phone (219) 873-2977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140205000158 IN Practitioner - Optometry 3375772734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dunes Optical, LLCGroup PAC ID 2365428349, 2 clinicians

Practice addresses (Care Compare)

2701 Franklin St
Michigan City, IN 46360-6137
Phone (219) 873-2977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002510INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunes Optical, LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients

Locations

1225 E Coolspring Ave
Ste 1B
Michigan City, IN 46360
Phone (219) 878-5020

2701 Franklin St
Michigan City, IN 46360
Phone (219) 873-2977

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": "1143331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1659331304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606137",
            "telephone_number": "219-873-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 FRANKLIN ST",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463606137",
            "telephone_number": "219-873-2977",
            "fax_number": "219-873-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABKOWSKI",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-26",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

Verify at the official NPI Registry.