Active NPI
Jennifer P Dunne, OD
- Optometrist
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.010823
- Practice address
- 122 N Oak Park Ave
Oak Park, IL 60301-1304 - Phone
- (708) 524-2020
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 046.010823 | IL | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 046.010823 | IL | |
| Pediatric Optometrist | 152WP0200X | 046.010823 | IL | |
| Vision Therapy Optometrist | 152WV0400X | 046.010823 | IL | |
| Optometrist | 152W00000X | 046.010823 | IL | Primary |
Addresses
Primary practice location
122 N Oak Park Ave
Oak Park, IL 60301-1304
Mailing address
131 N Marion St
Oak Park, IL 60301-1031
Phone (708) 383-7240
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.010823 | IL | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Illinois, LLC | Optometrist | Past | Accepting new patients |
| Rosin Optical Co. Inc. | Optometrist | Past | Accepting new patients |
| Rosin Optical Co. Inc. | Optometrist | Past | Accepting new patients |
Locations
3760 N Broadway St
Chicago, IL 60613
Phone (773) 975-2020
321 N Michigan Ave
Chicago, IL 60601
Phone (312) 263-0222
1130 W Madison St
Chicago, IL 60607
Phone (312) 226-7200
1212 N Wells St
Ste 1
Chicago, IL 60610
Phone (312) 664-2020
2000 N Clybourn Ave
#G2
Chicago, IL 60614
Phone (773) 975-7867
5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020
138 N York St
Elmhurst, IL 60126
Phone (630) 279-2020
122 N Oak Park Ave
Oak Park, IL 60301
Phone (708) 524-2020
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 6
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.
-
- Optometrist
- Chicago, IL
- NPI 1154297752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514505600000",
"number": "1710393152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N MARION ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011031",
"telephone_number": "708-383-7240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 N OAK PARK AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011304",
"telephone_number": "708-524-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "JENNIFER",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2017-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "046.010823",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "IL",
"license": "046.010823",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "IL",
"license": "046.010823",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "IL",
"license": "046.010823",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.010823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.