Active NPI
David Junge
- Optometrist
- Granite City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011669 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Havera Eye Care Specialists LLC | Optometrist | Current | Accepting new patients |
| Woods Vision Care Specialists, Inc | Optometrist | Current | Accepting new patients |
| Christina J. Levi O D P C | Optometrist | Current | 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.
-
- Optometrist
- Edwardsville, IL
- NPI 1477703411
-
- Optometrist
- Mascoutah, IL
- NPI 1851608186
-
- Optometrist
- Collinsville, IL
- NPI 1942862214
-
- Optometrist
- Edwardsville, IL
- NPI 1033261904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.