George Albert Roebuck, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-007227 Issued in IL

Practice address

113 E Jefferson St
Morris, IL 60450-2101

Phone

(815) 942-1951

Fax

(815) 942-1958

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Looking Out Vision PCGroup PAC ID 4082078076, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 3

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

• Nicole Corsiatti, O.D.

  • Optometrist
  • Bolingbrook, IL
  • NPI 1538653233
  Medicare reassignment
• Jennifer Marie Jacobs, O.D.

  • Optometrist
  • Minooka, IL
  • NPI 1366554826
  Medicare reassignment
• Alex Jon Uhlenhopp

  • Optometrist
  • Mason City, IA
  • NPI 1578055521

  IL

  Medicare reassignment

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.

• Looking Out Vision, P.C.

  • Optometrist
  • Morris, IL
  • NPI 1619662111
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1720094287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502101",
            "telephone_number": "815-942-1951",
            "fax_number": "815-942-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502101",
            "telephone_number": "815-942-1951",
            "fax_number": "815-942-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBUCK",
        "first_name": "GEORGE",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03084002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie L Ritter, R.D.
• Stacy Rivara, FNP-BC
• Tyler Rock
• Melissa F Rodriguez
• Stephanie I Rodriguez, PT
• Nichole Roed, LCPC
• Kathleen T. Rogowski, PA-C
• John B. Roth Jr., M.D.
• Richard Rotnicki, DO
• Peter Charles Roumeliotis, MD

• Optometrist in Morris, IL
• Providers in Morris, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.

Verify at the official NPI Registry.