Active NPI
Victor F. Verbic, O.D.
- Optometrist
- Dekalb, IL
National Provider Identifier
1194939769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009478
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046009478 | Medicaid | IL |
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
- Southern College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 E Locust St
Dekalb, IL 60115-3207
Phone (815) 756-6388
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009478 | IL | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Optometric Associates PC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Past | 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.
-
- Optometrist
- Dekalb, IL
- NPI 1205975752
-
- Ophthalmology Physician
- Tinley Park, IL
- NPI 1275930208
-
- Optometrist
- Niles, IL
- NPI 1831115906
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.