Jennifer Dungan Od PLLC
NPI 1306561451ActiveOrganization· Optometrist· Loves Park, IL
Optometrist in Loves Park, Illinois, registered in NPPES in October 2022. The authorized official on file is Jennifer Dungan, OD, Owner/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306561451 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2022 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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