Grant William Goble, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010585 Issued in IL

Practice address

2475 N Lincoln Ave
Chicago, IL 60614-2414

Phone

(872) 829-2020

Fax

(773) 770-3497

NPI assigned

Jul 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Goble Vision Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1649760174
  Medicare reassignment NPD Authorized official
• Solo Eye Care University Village PLLC

  • Optometrist
  • Chicago, IL
  • NPI 1881834836
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1043575566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142414",
            "telephone_number": "872-829-2020",
            "fax_number": "773-770-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142414",
            "telephone_number": "872-829-2020",
            "fax_number": "773-770-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBLE",
        "first_name": "GRANT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Arlene Go, M.D.
• Elizabeth Kent Gobbi, MD
• Daniella Gobbo
• Bruce Gober, MD
• Goble Vision Care LLC
• Christopher E Goc, DMD
• God Gift Health Care LLC
• God's Elect Transportation LLC
• Kateland E Godat, LPC
• Lolita Godbold, MSW,LCSW

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.

Verify at the official NPI Registry.