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VINTAGE OPTICAL BRIAN C SOMMER OD LTD
NPI 1073756490
Optometrist in Morton, IL

Active since April 15, 2009CLIA 14D2096392 · Waiver
605 S MAIN ST, MORTON, IL 61550(309) 263-8611(309) 263-8926 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vintage Optical Brian C Sommer Od Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINTAGE OPTICAL BRIAN C SOMMER OD LTD (NPI 1073756490) is a healthcare organization registered as an optometrist in Morton, Illinois and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Paul O Velting, Owner, as its authorized official.

NPPES Registry Identity

NPI1073756490
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVINTAGE OPTICAL BRIAN C SOMMER OD LTD
Location Address605 S MAIN STMorton, IL 61550-2413
Mailing Address605 S Main StMorton, IL 61550-2413 · (309) 263-8611 · Fax (309) 263-8926
Phone(309) 263-8611
Fax(309) 263-8926
Organization SubpartNo
Authorized OfficialPaul O VeltingOwner · (309) 263-8611
Enumeration DateApril 15, 2009
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1073756490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046.007309
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
605 S MAIN ST, Morton, IL 61550
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2096392

Vintage Optical - Dr Brian Sommer · Morton, IL
Active · expires May 21, 2027
CLIA Number14D2096392
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorBrian C. Sommer
Laboratory Phone(309) 263-8611
Laboratory LocationVintage Optical - Dr Brian Sommer605 S Main St, Morton, IL 61550
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Vintage Optical Brian C Sommer, Od, carries, from the Medicare DMEPOS supplier directory.

Vintage Optical Brian C Sommer, Od,

DMEPOS supplier · Morton, ILOperated by Vintage Optical Brian C Sommer, Od, Ltd.
✔

Accepts Medicare assignment

Vintage Optical Brian C Sommer, Od, agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20582423
Medicare Participant SinceJanuary 1, 2005
Supplier Location417 W Jefferson StreetMorton, IL 61550
Phone(309) 263-8611
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vintage Optical Brian C Sommer Od Ltd's NPI number?

The NPI number for Vintage Optical Brian C Sommer Od Ltd is 1073756490. It was assigned to this organization in the NPPES registry on April 15, 2009.

Where is Vintage Optical Brian C Sommer Od Ltd located?

Vintage Optical Brian C Sommer Od Ltd is located at 605 S Main St, Morton, IL 61550. The listed phone number is (309) 263-8611.

What is Vintage Optical Brian C Sommer Od Ltd's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Vintage Optical Brian C Sommer Od Ltd accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Vintage Optical Brian C Sommer, Od, accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Vintage Optical Brian C Sommer Od Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2096392) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vintage Optical Brian C Sommer Od Ltd accept?

Health plans from BlueCross BlueShield of Tennessee list Vintage Optical Brian C Sommer Od Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vintage Optical Brian C Sommer Od Ltd was last updated on December 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.