Active NPI
Adam Sobin, O.D.
- Optometrist
- Bloomington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-010820
- Practice address
- 1008 N Main St
Bloomington, IL 61701-1784 - Phone
- (309) 829-5311
- Fax
- (309) 827-8027
- NPI assigned
- Jun 24, 2014
- Sex
- Male
- 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 | 046-010820 | IL | Primary |
Addresses
Primary practice location
1008 N Main St
Bloomington, IL 61701-1784
Mailing address
1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311
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
- Illinois College of Optometry at Chicago, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 N Pkwy Dr
Pekin, IL 61554-3932
Phone (309) 347-5115
Hospital & facility affiliations
- Decatur Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.19 of 100
- Quality
- 99.36
- Improvement activities
- 40
- Cost
- 44.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-010820 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gailey Eye Clinic, LTD | Current | Accepting new patients | |
| Gailey Eye Clinic, LTD | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Gailey Eye Clinic, LTD | Past | Accepting new patients |
Locations
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
47 E Liberty Ln
Danville, IL 61832
Phone (217) 446-3937
646 W Pershing Rd
Decatur, IL 62526
Phone (217) 875-0300
322 W Marion Ave
Forsyth, IL 62535
Phone (217) 872-2404
834 N Seminary St
Ste 103
Galesburg, IL 61401
Phone (309) 343-6000
101 N Parkway Dr
Pekin, IL 61554
Phone (309) 347-5115
1401 S Koke Mill Rd
Springfield, IL 62711
Phone (217) 529-3937
Interoperability endpoints
- adam.sobin.p1@direct.gec.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmic Technician/Technologist
- Forsyth, IL
- NPI 1184829814
-
- Ophthalmic Technician/Technologist
- Peoria, IL
- NPI 1275738908
-
- Ophthalmic Technician/Technologist
- Bloomington, IL
- NPI 1932156445
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1083029433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011784",
"telephone_number": "309-829-5311",
"fax_number": "309-827-8027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617011784",
"telephone_number": "309-829-5311",
"fax_number": "309-827-8027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBIN",
"first_name": "ADAM",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-010820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.