Individual provider Active NPI

Jennifer P Dunne, OD

  • Optometrist
  • Oak Park, IL
National Provider Identifier
1710393152
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010823 Issued in IL
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

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180117002150 IL Practitioner - Optometry 7214296375 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.010823ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Dec 5, 2017 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Dec 5, 2017 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.

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

Verify at the official NPI Registry.