Individual provider Active NPI

Victor F. Verbic, O.D.

  • Optometrist
  • Dekalb, IL
National Provider Identifier
1194939769
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009478 Issued in IL
Practice address
121 E Locust St
Dekalb, IL 60115-3207
Phone
(815) 756-6388
Fax
(815) 756-4861
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-009478 IL Primary
Sports Vision Optometrist 152WS0006X 046-009478 IL
Occupational Vision Optometrist 152WX0102X 046-009478 IL

Addresses

Primary practice location

121 E Locust St
Dekalb, IL 60115-3207

Mailing address

121 E Locust St
Dekalb, IL 60115-3207
Phone (815) 756-6388

Other identifiers 1

IdentifierTypeStateIssuer
046009478MedicaidIL

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
I20070920000448 IL Practitioner - Optometry 4183718208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dekalb Optometric Associates, PCGroup PAC ID 7911068598, 4 clinicians

Practice addresses (Care Compare)

121 E Locust St
Dekalb, IL 60115-3207
Phone (815) 756-6388

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009478ILMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Optometric Associates PC Optometrist CurrentSince Oct 27, 2008 Accepting new patients
Visionworks, Inc. Optometrist PastSince Mar 17, 2018 Accepting new patients
Visionworks, Inc Past Accepting new patients
Herbert C Becker Jr. MD, SC Past Accepting new patients

Locations

121 E Locust St
DeKalb, IL 60115
Phone (815) 756-6388

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1194939769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E LOCUST ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153207",
            "telephone_number": "815-756-6388",
            "fax_number": "815-756-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LOCUST ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153207",
            "telephone_number": "815-756-6388",
            "fax_number": "815-756-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBIC",
        "first_name": "VICTOR",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009478",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": "046-009478",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IL",
            "license": "046-009478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009478",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.