Vintage Optical Brian C Sommer OD LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.007309 Issued in IL

Legal business name

VINTAGE OPTICAL BRIAN C SOMMER OD LTD

Practice address

605 S Main St
Morton, IL 61550-2413

Phone

(309) 263-8611

Fax

(309) 263-8926

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Paul O Velting, ODNPI 1093128886

Title

Owner

Phone

(309) 263-8611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul O Velting, O.D.

  • Corneal and Contact Management Optometrist
  • Morton, IL
  • NPI 1093128886
  Medicare reassignment Care Compare group Authorized official
• Brian C Sommer, O.D.

  • Optometrist
  • Morton, IL
  • NPI 1003986522
  Medicare reassignment Care Compare group
• Terry Allen Goodale, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1366878811
  Medicare reassignment

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1073756490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502413",
            "telephone_number": "309-263-8611",
            "fax_number": "309-263-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502413",
            "telephone_number": "309-263-8611",
            "fax_number": "309-263-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE OPTICAL BRIAN C SOMMER OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "VELTING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-263-8611",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.007309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene D Vaccaro, PSYD
• Vah, LTD
• Roberta Van Zant, DO
• Paul O Velting, O.D.
• Village of Morton
• Visiting Doctors Network Inc.
• Visiting Physicians of Peoria Inc
• Jennifer Vissering
• Chelsi Ann Waddell, D.C.
• Chris Wade, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.