DR. JOSHUA MARK DUDEK (OD) – Optometrist, NPI 1508627449

DR. JOSHUA MARK DUDEK (OD) is a healthcare provider. based in Pontiac, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046.011847 (IL). The NPI Number for DR. JOSHUA MARK DUDEK (OD) is 1508627449

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA MARK DUDEK (OD)
NPI
1508627449
Phone
(815) 842-4304
Address
320 N LADD ST
Enumeration Date
18 January 2024
Last Update Date
23 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
8158424304
Graduation Year
2024 (2 years ago)
PAC ID
7517404932
Group Practice PAC ID
5395068266
Professional Enrollment ID
I20240802003265
Address ID
IL617641612PO320XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for DR. JOSHUA MARK DUDEK (OD)

  • 320 N LADD ST

    PONTIAC, IL 617641612

    Phone: (815) 842-4304

    Type: Mailing

  • 2 Aspen Ct

    Fairbury, IL 617391487

    Phone: (815) 692-2415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,127.

Total Amount is formed as General ($1,127) + Research ($0) + Ownership ($0) = $1,127.

Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($1,109).

Total Amount

$1,127

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240802003265IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395068266View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YCO
O P T O M E T R YIL

Reviews

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Frequently asked questions

How is DR. JOSHUA MARK DUDEK (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. JOSHUA MARK DUDEK (OD) with NPI 1508627449.
Can I rely on DR. JOSHUA MARK DUDEK (OD) being an active provider?
As of the registry snapshot, DR. JOSHUA MARK DUDEK (OD) is marked active.
What taxonomy line describes DR. JOSHUA MARK DUDEK (OD)?
For research purposes, treat DR. JOSHUA MARK DUDEK (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JOSHUA MARK DUDEK (OD)?
DR. JOSHUA MARK DUDEK (OD)'s geographic hint is Pontiac, Illinois in our summary view.
Is the information about DR. JOSHUA MARK DUDEK (OD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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