Individual provider Active NPI

Adam Sobin, O.D.

  • Optometrist
  • Bloomington, IL
National Provider Identifier
1083029433
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-010820 Issued in IL
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

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-010820 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140708001336 IL Practitioner - Optometry 3678798691 Reassigns benefits to 1 organization

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
Gailey Eye Clinic, LTDGroup PAC ID 2769469337, 15 clinicians

Practice addresses (Care Compare)

101 N Pkwy Dr
Pekin, IL 61554-3932
Phone (309) 347-5115

Hospital & facility affiliations

  • Decatur Memorial Hospital Hospital, Decatur, IL, CCN 140135

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as group
Quality
99.36
Improvement activities
40
Cost
44.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-010820ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gailey Eye Clinic, LTD CurrentSince Jul 14, 2014 Accepting new patients
Gailey Eye Clinic, LTD CurrentSince Jul 14, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.