Individual provider Active NPI

Rebecca A Schoepke, O.D.

  • Optometrist
  • Cary, IL
National Provider Identifier
1013062868
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.009339 Issued in IL
Practice address
855 Feinberg CT
Ste 110
Cary, IL 60013
Phone
(847) 516-3111
Fax
(847) 516-3133
NPI assigned
Jan 24, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009339 IL Primary

Addresses

Primary practice location

855 Feinberg CT
Ste 110
Cary, IL 60013

Mailing address

855 Feinberg CT
Ste 110
Cary, IL 60013
Phone (847) 516-3111

Other identifiers 1

IdentifierTypeStateIssuer
046009339MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111116000251 IL Practitioner - Optometry 4789681867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Johnson Eye Care IncGroup PAC ID 7911904099, 3 clinicians

Practice addresses (Care Compare)

855 Feinberg CT
Suite 110
Cary, IL 60013-2976
Phone (847) 516-3111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009339ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Eye Care Inc Optometrist CurrentSince Jul 1, 1999 Accepting new patients
Tyler Ridge Vision Care, LTD. Optometrist PastSince Jul 8, 1999 Accepting new patients

Locations

855 Feinberg Ct
Ste 110
Cary, IL 60013
Phone (847) 516-3111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013062868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 FEINBERG CT",
            "address_2": "STE 110",
            "city": "CARY",
            "state": "IL",
            "postal_code": "60013",
            "telephone_number": "847-516-3111",
            "fax_number": "847-516-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 FEINBERG CT",
            "address_2": "STE 110",
            "city": "CARY",
            "state": "IL",
            "postal_code": "60013",
            "telephone_number": "847-516-3111",
            "fax_number": "847-516-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEPKE",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009339",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

Verify at the official NPI Registry.