DR. LUBEN METODIEV IKONOMOV O.D.
NPI 1215626015
Optometrist in Bethel, VT

Active since May 05, 2023PECOS Enrolled
1593 VERMONT ROUTE 107, BETHEL, VT 05032(802) 234-9728(802) 234-9728 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, May 5, 2023 (2 updates tracked since 2023).

About Dr. Luben Metodiev Ikonomov O.d. NPPES

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

DR. LUBEN METODIEV IKONOMOV O.D. (NPI 1215626015) is an individual optometrist in Bethel, Vermont, licensed in Vermont (030.0133986) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in White River Junction, and is a graduate of New England College Of Optometry (2022).

NPPES Registry Identity

NPI1215626015
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. LUBEN METODIEV IKONOMOVCredential: O.D.
Location Address1593 VERMONT ROUTE 107Bethel, VT 05032-4456
Mailing Address1593 Vermont Route 107Bethel, VT 05032-4456 · (802) 234-9728 · Fax (802) 234-9728
Fax(802) 234-9728
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2022
Enumeration DateMay 5, 2023
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1215626015 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 VT · 030.0133986
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.
1593 VERMONT ROUTE 107, Bethel, VT 05032

Secondary Practice Location 1

Location 1155 Maple St Ste 1White River Junction, VT 05001-7029 · Phone (802) 295-3300 · Fax (802) 295-6581

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Luben Metodiev Ikonomov O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42677916
PECOS Enrollment IDI20230608000293
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
220 services215 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
134 services93 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
92 services70 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
91 services91 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
69 services64 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
31 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1593 VERMONT ROUTE 107
BETHEL, VT 05032
Optometrist
1593 VERMONT ROUTE 107
BETHEL, VT 05032

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 Luben Ikonomov's NPI number?

The NPI number for Luben Ikonomov is 1215626015. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Luben Ikonomov located?

Luben Ikonomov practices at 1593 Vermont Route 107, Bethel, VT 05032. The listed phone number is (802) 234-9728.

What is Luben Ikonomov's specialty?

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

Is Luben Ikonomov enrolled in Medicare?

Yes. Luben Ikonomov is registered in the Medicare PECOS enrollment system.

What insurance does Luben Ikonomov accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Luben Ikonomov 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 Luben Ikonomov was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.