EDEM MARDONA JONGUE
NPI 1730938325
Optometrist in Chicago, IL

Q: What is Edem Jongue's NPI number?

The NPI number for Edem Jongue is 1730938325. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Q: What is Edem Jongue'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 Edem Jongue was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 May 15, 2024PECOS EnrolledAccepts Medicare Assignment

3241 S MICHIGAN AVE STE 1, CHICAGO, IL 60616(312) 225-6200(312) 949-7616 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, May 15, 2024 (2 updates tracked since 2024).

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About Edem Mardona Jongue NPPES

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

EDEM MARDONA JONGUE (NPI 1730938325) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046011877) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2024).

NPPES Registry Identity

NPI1730938325

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameEDEM MARDONA JONGUE

Location Address3241 S MICHIGAN AVE STE 1Chicago, IL 60616-3878

Mailing Address3241 S Michigan Ave Ste 1Chicago, IL 60616-3878 · (312) 225-6200 · Fax (312) 949-7616

Phone(312) 225-6200

Fax(312) 949-7616

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2024

Enumeration DateMay 15, 2024

Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1730938325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IL · 046011877

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3241 S MICHIGAN AVE STE 1, Chicago, IL 60616

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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

Edem Mardona Jongue 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 ID7719424654

PECOS Enrollment IDI20240808003750

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

MACY E KOEPKE OD

Optometrist