Forest Bluff Optometry LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FOREST BLUFF OPTOMETRY LLC

Practice address

207-209 N. Waukegan Rd
Lake Bluff, IL 60044

Phone

(815) 501-7419

NPI assigned

Mar 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Diana Yin, ODNPI 1023501483

Title

Owner/Optometrist

Phone

(815) 501-7419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Diana Yin, OD

  • Optometrist
  • Lake Bluff, IL
  • NPI 1023501483
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1104628478",
    "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": "207-209 N. WAUKEGAN RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "60044",
            "telephone_number": "815-501-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST BLUFF OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "815-501-7419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ficaro, PMHNP-BC
• Aline M Fiedorowicz, LCSW
• Fit for Life Rehab and Fitness Clinic, Inc.
• Kayleen Marie Flores, MS, BCBA
• Forest Bluff Counseling
• Anayatzy Franco
• Lindsey Wold Fraser, M.D.
• Becky Freeman-Murray
• Fresenius Medical Care Lake Bluff, LLC
• Fresenius Medical Care of Illinois, LLC

• Optometrist in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.