Individual provider Active NPI

Connor Matthew Robbs, O.D.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1114652492
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011646 Issued in IL
Practice address
1331 W 75TH St Ste 403
Naperville, IL 60540-9311
Phone
(630) 357-3511
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011646 IL Primary

Addresses

Primary practice location

1331 W 75TH St Ste 403
Naperville, IL 60540-9311

Mailing address

4104 Diamond CT
Naperville, IL 60564-7131

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
I20220919002268 IL Practitioner - Optometry 0749665370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naper Grove Vision Care, P.C.Group PAC ID 4082696448, 10 clinicians

Practice addresses (Care Compare)

1331 W 75TH St
Suite 403
Naperville, IL 60540-9311
Phone (630) 357-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011646ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Naper Grove Vision Care, P.C. CurrentSince Aug 15, 2022 Accepting new patients
Naper Grove Vision Care, P.C. Optometrist CurrentSince Aug 15, 2022 Accepting new patients

Locations

6840 Main St
Ste 250
Downers Grove, IL 60516
Phone (630) 969-3268

1331 W 75th St
Ste 403
Naperville, IL 60540
Phone (630) 357-3511

29 S Webster St
Ste 200
Naperville, IL 60540
Phone (630) 357-3511

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1114652492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 DIAMOND CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605647131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-357-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBS",
        "first_name": "CONNOR",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.