Organization Active NPI

George Ribarchik OD PC

  • Optometrist
  • Woodstock, IL
National Provider Identifier
1669015723
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GEORGE RIBARCHIK OD PC
Practice address
1275 Lake Ave
Woodstock, IL 60098-7415
Phone
(815) 206-0998
Fax
(815) 206-3090
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
George Ribarchik, ODNPI 1033310487
Title
Sole Member
Phone
(815) 206-0998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1275 Lake Ave
Woodstock, IL 60098-7415

Mailing address

620 Ridgewood Dr
Cary, IL 60013-3216
Phone (815) 206-0998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1669015723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 RIDGEWOOD DR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133216",
            "telephone_number": "815-206-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 LAKE AVE",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987415",
            "telephone_number": "815-206-0998",
            "fax_number": "815-206-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE RIBARCHIK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "RIBARCHIK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "815-206-0998",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.