Brian Repking, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010915 Issued in IL

Practice address

113 E Main St
Teutopolis, IL 62467-1340

Phone

(217) 903-4117

Fax

(217) 903-4116

NPI assigned

Jul 13, 2015

Last updated

Feb 19, 2025By the provider in NPPES

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

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

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vep Il Optometric LLCGroup PAC ID 3678814217, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Repking Eye Care PLLC

  dba Repking Eye Care

  • Optometrist
  • Teutopolis, IL
  • NPI 1598447179
  Medicare reassignment NPD Authorized official
• Vep Il Optometric LLC

  • Optometrist
  • Bloomington, IL
  • NPI 1528536620
  Medicare reassignment Care Compare group NPD
• Oneopto Il 2 PLLC

  dba All About Eyes

  • Optometrist
  • Bloomington, IL
  • NPI 1003788431
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1942684642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E MAIN ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671340",
            "telephone_number": "217-903-4117",
            "fax_number": "217-903-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E MAIN ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671340",
            "telephone_number": "217-903-4117",
            "fax_number": "217-903-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKING",
        "first_name": "BRIAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Illinois Medical Care Associates, LLC (Runde Clinic)
• John Neihls
• Emily Marie Nosbisch, NP
• Charity Ozenkoski
• Repking Eye Care PLLC (Repking Eye Care)
• Jessica Kristin Rhodes, DT
• Rebecca Fay Rhodes, DEVELOPMENTAL THERAP
• Natasha Renee Ruholl, M.S., CCC-SLP
• Charles W. Runde, M.D.
• Gerald P. Runde, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.