Individual provider Active NPI

David Junge

  • Optometrist
  • Granite City, IL
National Provider Identifier
1942938626
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011669 Issued in IL
Practice address
1801 Pontoon Rd
Granite City, IL 62040-2338
Phone
(618) 931-2700
NPI assigned
Aug 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011669 IL Primary

Addresses

Primary practice location

1801 Pontoon Rd
Granite City, IL 62040-2338

Mailing address

1801 Pontoon Rd
Granite City, IL 62040-2338
Phone (618) 931-2700

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
I20220901001797 IL Practitioner - Optometry 2961886478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woods Vision Care Specialists IncGroup PAC ID 1658552823, 2 clinicians
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians

Practice addresses (Care Compare)

105 Mascoutah Plaza Dr
Mascoutah, IL 62258-1300
Phone (618) 566-8899

1312 Mercantile Dr
Highland, IL 62249-1240
Phone (618) 654-9999

1950 Edwardsville Club Plaza CT
Edwardsville, IL 62025-3717
Phone (618) 656-3199

2100 Troy Rd
Edwardsville, IL 62025-2595
Phone (618) 656-8888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011669ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Havera Eye Care Specialists LLC Optometrist CurrentSince Aug 2, 2022 Accepting new patients
Woods Vision Care Specialists, Inc Optometrist CurrentSince May 1, 2024 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince May 27, 2024 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

119 N Morrison Ave
Collinsville, IL 62234
Phone (618) 344-0511

2100 Troy Rd
Ste 104
Edwardsville, IL 62025
Phone (618) 656-8888

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

1950 Edwardsville Club Plaza Ct
Edwardsville, IL 62025
Phone (618) 656-3199

1801 Pontoon Rd
Granite City, IL 62040
Phone (618) 931-2700

1312 Mercantile Dr
Highland, IL 62249
Phone (618) 654-9999

105 Mascoutah Plaza Dr
Mascoutah, IL 62258
Phone (618) 566-8899

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1942938626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402338",
            "telephone_number": "618-931-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PONTOON RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402338",
            "telephone_number": "618-931-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.