Active NPI
Raymond Todd Nobbe, OD
- Optometrist
- Lincoln, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-008726
- Practice address
- 1400 Woodlawn Road
Lincoln, IL 62656 - Phone
- (217) 735-2020
- Fax
- (217) 735-5557
- NPI assigned
- Aug 3, 2006
- Last updated
- Sep 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-008726 | IL | Primary |
Addresses
Primary practice location
1400 Woodlawn Road
Lincoln, IL 62656
Mailing address
23 Augusta Dr
Lincoln, IL 62656-9101
Phone (217) 735-2020
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
- Illinois College of Optometry at Chicago, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1104 N Vermilion St
Danville, IL 61832-3094
Phone (217) 442-2631
Merit-based Incentive Payment System (MIPS)
- Final score
- 64.15 of 100
- Quality
- 77.89
- Improvement activities
- 40
- Cost
- 10
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008726 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chittick Family Eye Care LTD | Optometrist | Current | Accepting new patients |
Locations
2435 Village Green Pl
Champaign, IL 61822
Phone (217) 398-1700
1104 N Vermilion St
Danville, IL 61832
Phone (217) 398-2020
851 E Orange St
Hoopeston, IL 60942
Phone (217) 283-7611
327 N Kickapoo St
Lincoln, IL 62656
Phone (217) 735-2020
122 W Court St
Paris, IL 61944
Phone (217) 921-3140
209 E Grove Ave
Rantoul, IL 61866
Phone (217) 892-2727
8 Dunlap Ct
Savoy, IL 61874
Phone (217) 378-4588
10 W Adams Ave
Villa Grove, IL 61956
Phone (217) 832-2111
112 E Walnut St
Watseka, IL 60970
Phone (815) 432-2020
Organizations & group practices 1
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.
-
dba Leon Optometric Clinic
- Ophthalmology Physician
- Danville, IL
- NPI 1336246552
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314835200000",
"number": "1477561793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 AUGUSTA DR",
"city": "LINCOLN",
"state": "IL",
"postal_code": "626569101",
"telephone_number": "217-735-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WOODLAWN ROAD",
"city": "LINCOLN",
"state": "IL",
"postal_code": "62656",
"telephone_number": "217-735-2020",
"fax_number": "217-735-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBBE",
"first_name": "RAYMOND",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2011-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-008726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.