Robert E. Skabo, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-006198 Issued in IL

Practice address

121 E Locust St
Dekalb, IL 60115-3207

Phone

(815) 756-6388

Fax

(815) 756-4861

NPI assigned

Oct 26, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Herbert C Becker Jr. MD, SC

  • Ophthalmology Physician
  • Tinley Park, IL
  • NPI 1275930208
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1821277880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E LOCUST ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153207",
            "telephone_number": "815-756-6388",
            "fax_number": "815-756-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LOCUST ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153207",
            "telephone_number": "815-756-6388",
            "fax_number": "815-756-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKABO",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-006198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046-006198",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoptikal LLC (Shopko Optical 4243)
• Sabet Siddiqui, M.D.
• Sabhia Sims
• Simsum Inc (Medical Arts Pharmacy)
• Abigail Sipes
• Monique E Slad, MBA, RD, LDN
• Allison Smith
• Amanda Cathleen Smith, FNP-BC
• Atlee T Smith
• Capri Smith, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.