Individual provider Active NPI

Raymond Todd Nobbe, OD

  • Optometrist
  • Lincoln, IL
National Provider Identifier
1477561793
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008726 Issued in IL
Practice address
1400 Woodlawn Road
Lincoln, IL 62656
Phone
(217) 735-2020
Fax
(217) 735-5557
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000746 IL Practitioner - Optometry 2860585312 Reassigns benefits to 1 organization

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
Chittick Family Eye Care LTDGroup PAC ID 8628059995, 16 clinicians

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 100Reported as group
Quality
77.89
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008726ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chittick Family Eye Care LTD Optometrist CurrentSince Oct 24, 2018 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) 398-2020

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 and National Provider Directory roles.

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

Verify at the official NPI Registry.