730 NORTH OPTOMETRY
NPI 1821435660
Optometrist in Libertyville, IL
About 730 North Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
730 NORTH OPTOMETRY (NPI 1821435660) is a healthcare organization registered as an optometrist in Libertyville, Illinois and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through October 11, 2027 and lists Angela C Pak Oh, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
730 North Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to 730 North Optometry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 14D2239389
730 North Optometry · Libertyville, ILFrequently 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 730 North Optometry PC's NPI number?
The NPI number for 730 North Optometry PC is 1821435660. It was assigned to this organization in the NPPES registry on June 3, 2013. The provider is doing business as 730 North Optometry.
Where is 730 North Optometry PC located?
730 North Optometry PC is located at 730 N Milwaukee Ave, Libertyville, IL 60048. The listed phone number is (847) 362-9900.
What is 730 North Optometry PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is 730 North Optometry PC enrolled in Medicare?
Yes. 730 North Optometry PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through 730 North Optometry PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to 730 North Optometry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 730 North Optometry PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2239389) is associated with this NPI, valid through October 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does 730 North Optometry PC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list 730 North Optometry PC 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 730 North Optometry PC was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# 730 North Optometry · NPI 1821435660
Optometrist organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since June 3, 2013.
## Identity
- **NPI:** 1821435660 (Entity type: Organization)
- **Enumerated:** June 3, 2013
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** 730 North Optometry Pc
- **Organization subpart:** No
- **Authorized official:** Angela Pak Oh, PRESIDENT
## Practice location
- **Address:** 730 N MILWAUKEE AVE, Libertyville, IL 60048-1914
- **Phone:** (847) 362-9900 · **Fax:** (847) 362-9936
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821435660) · Data from the CMS NPPES public registry.