Individual provider Active NPI

Matthew Albin, O.D.

  • Optometrist
  • Bloomingdale, IL
National Provider Identifier
1609505940
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.011790 Issued in IL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201002327 IL Practitioner - Optometry 7416338181 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OPT.0003796COMDOptometrist
046.011790ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Albin OD LLC Optometrist CurrentSince Jun 11, 2024 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

Verify at the official NPI Registry.