DR. JOSHUA MARK DUDEK OD
NPI 1508627449
Optometrist in Pontiac, IL

Q: What is Joshua Dudek's NPI number?

The NPI number for Joshua Dudek is 1508627449. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Joshua Dudek's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Dudek was last updated on November 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2024PECOS EnrolledAccepts Medicare Assignment

320 N LADD ST, PONTIAC, IL 61764(815) 842-4304 Get Directions Write a Review

NPPES record last updated: November 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2025, Jun 15, 2024, Jun 4, 2024 and 1 more (4 updates tracked since 2024).

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About Dr. Joshua Mark Dudek Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSHUA MARK DUDEK OD (NPI 1508627449) is an individual optometrist in Pontiac, Illinois, licensed in Illinois (046.011847) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fairbury, and is a graduate of University Of Missouri St Louis - School Of Optometry (2024).

NPPES Registry Identity

NPI1508627449

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JOSHUA MARK DUDEKCredential: OD

Location Address320 N LADD STPontiac, IL 61764-1612

Mailing Address320 N Ladd StPontiac, IL 61764-1612 · (815) 842-4304

Phone(815) 842-4304

Sole ProprietorNo

Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2024

Enumeration DateJanuary 18, 2024

Last NPPES UpdateNovember 23, 20254 updates tracked since enumeration

NPPES CertifiedNovember 23, 2025

✔ NPI 1508627449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046.011847

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

320 N LADD ST, Pontiac, IL 61764

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Secondary Practice Location 1

Location 12 Aspen CtFairbury, IL 61739-1487 · Phone (815) 692-2415

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua Mark Dudek Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517404932

PECOS Enrollment IDI20240802003265

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services35 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

28 services25 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

26 services26 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

14 services14 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY EYE CARE OF PONTIAC, LLC

Optometrist