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DR. ALBERT SIMON LICUP O.D.
NPI 1720011125
Optometrist in Oak Park, IL

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
603 MADISON ST, OAK PARK, IL 60302(708) 383-2150(708) 383-2253 Get Directions Write a Review

NPPES record last updated: May 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Albert Simon Licup O.d. NPPES

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

DR. ALBERT SIMON LICUP O.D. (NPI 1720011125) is an individual optometrist in Oak Park, Illinois, licensed in Illinois (046.009863) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2006).

NPPES Registry Identity

NPI1720011125
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ALBERT SIMON LICUPCredential: O.D.
Location Address603 MADISON STOak Park, IL 60302-4437
Mailing Address603 Madison StOak Park, IL 60302-4437 · (708) 383-2150 · Fax (708) 383-2253
Phone(708) 383-2150
Fax(708) 383-2253
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2006
Enumeration DateJuly 9, 2006
Last NPPES UpdateMay 28, 2009
✔ NPI 1720011125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IL · 046.009863✔ Licensed in WI · 3056-035
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.
603 MADISON ST, Oak Park, IL 60302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Albert Simon Licup O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092872911
PECOS Enrollment IDI20090320000283
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60302 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 3

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

ALEX R TAN OD
Optometrist
603 MADISON ST
OAK PARK, IL 60302
Cook County (708) 383-2150
COMPASS EYE CARE, INC.
Optometrist
603 MADISON ST
OAK PARK, IL 60302
Cook County (708) 383-2150
A&A VISION INC
Optometrist
603 MADISON ST
OAK PARK, IL 60302
Cook County (708) 383-2150

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 Albert Licup's NPI number?

The NPI number for Albert Licup is 1720011125. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Albert Licup located?

Albert Licup practices at 603 Madison St, Oak Park, IL 60302. The listed phone number is (708) 383-2150.

What is Albert Licup's specialty?

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

Is Albert Licup enrolled in Medicare?

Yes. Albert Licup is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Albert Licup accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Albert Licup 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 Albert Licup was last updated on May 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.