Active NPI
Matthew Albin, O.D.
- Optometrist
- Bloomingdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.011790
- Practice address
- 113 E Lake St Ste 113-1
Bloomingdale, IL 60108-1144 - Phone
- (630) 326-8632
- NPI assigned
- Jun 9, 2022
- Last updated
- Jul 21, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.0003796 | CO | |
| Optometrist | 152W00000X | 046.011790 | IL | Primary |
Addresses
Primary practice location
113 E Lake St Ste 113-1
Bloomingdale, IL 60108-1144
Mailing address
462 Hunter Dr
Carol Stream, IL 60188-3907
Phone (630) 418-1819
Other practice location 1
209 S La Salle St
Chicago, IL 60604-1219
Phone (312) 332-4461
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
113 E Lake St
Unit 113 1
Bloomingdale, IL 60108-1144
Phone (630) 326-8632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0003796 | CO | MD | Optometrist |
| 046.011790 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Albin OD LLC | Optometrist | Current | Accepting new patients |
Locations
113 E Lake St
Ste 1131
Bloomingdale, IL 60108
Phone (630) 326-8632
113 E Lake St
Unit 1131
Bloomingdale, IL 60108
Phone (630) 326-8632
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1609505940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 HUNTER DR",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601883907",
"telephone_number": "630-418-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E LAKE ST STE 113-1",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081144",
"telephone_number": "630-326-8632"
}
],
"practiceLocations": [
{
"address_1": "209 S La Salle St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606041219",
"country_code": "US",
"telephone_number": "312-332-4461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBIN",
"first_name": "MATTHEW",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0003796",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.011790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.