Organization
JENNIFER DUNGAN OD PLLC
Active
Other names
Bright Eyes Family Eye Care, Dungan Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DUNGAN OD (OWNER/OPTOMETRIST)
(815) 742-8064
Entity
Organization
Contact information
Practice address
2028 E RIVERSIDE BLVD STE 101F, LOVES PARK, IL 61111-4800
(815) 708-8382
Mailing address
2028 E RIVERSIDE BLVD STE 101F, LOVES PARK, IL 61111-4800
(815) 708-8382
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010092
—
IL
05
—
1306561451
—
IL
Enumeration date
10/11/2022
Last updated
10/25/2023
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