Active NPI
Diana Yin, OD
- Optometrist
- Lake Bluff, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046011284
- Practice address
- 207 N Waukegan Rd
Lake Bluff, IL 60044 - Phone
- (224) 524-1011
- NPI assigned
- Jun 11, 2018
- Last updated
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011284 | IL | Primary |
Addresses
Primary practice location
207 N Waukegan Rd
Lake Bluff, IL 60044
Mailing address
1081 Oak Spring LN
Libertyville, IL 60048-1613
Phone (815) 501-7419
Other practice location 1
730 N Milwaukee Ave
Libertyville, IL 60048-1914
Phone (847) 362-9900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
207 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone (224) 524-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046011284 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Bluff Optometry LLC | Optometrist | Current | Accepting new patients |
| 730 North Optometry PC | Optometrist | Current | Accepting new patients |
| Brain-Eye Evolution at 730 North | Past | Accepting new patients |
Locations
207 Waukegan Rd
Lake Bluff, IL 60044
Phone (224) 524-1011
730 N Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-9900
Organizations & group practices 3
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.
-
- Optometrist
- Lake Bluff, IL
- NPI 1104628478
-
- Vision Therapy Optometrist
- Libertyville, IL
- NPI 1851741714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1023501483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 OAK SPRING LN",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600481613",
"telephone_number": "815-501-7419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 N WAUKEGAN RD",
"city": "LAKE BLUFF",
"state": "IL",
"postal_code": "60044",
"telephone_number": "224-524-1011"
}
],
"practiceLocations": [
{
"address_1": "730 N Milwaukee Ave",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "600481914",
"country_code": "US",
"telephone_number": "847-362-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIN",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2025-04-23",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Bluff, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.