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730 NORTH OPTOMETRY
NPI 1821435660
Optometrist in Libertyville, IL

Active since June 03, 2013CLIA 14D2239389 · Waiver
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048(847) 362-9900(847) 362-9936 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1821435660
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business Name730 NORTH OPTOMETRY PC
Location Address730 N MILWAUKEE AVELibertyville, IL 60048-1914
Mailing Address730 N Milwaukee AveLibertyville, IL 60048-1914 · (847) 362-9900 · Fax (847) 362-9936
Phone(847) 362-9900
Fax(847) 362-9936
Organization SubpartNo
Authorized OfficialAngela C Pak OhPresident · (312) 282-5661
Enumeration DateJune 3, 2013
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1821435660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
730 N MILWAUKEE AVE, Libertyville, IL 60048
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Other Names 1

Doing Business As730 North Optometry

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 14D2239389

730 North Optometry · Libertyville, IL
Active · expires Oct 11, 2027
CLIA Number14D2239389
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorAngela C. Pak Oh
Laboratory Phone(847) 362-9900
Laboratory Location730 North Optometry730 N Milwaukee Ave, Libertyville, IL 60048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

ANGELA C PAK OH O.D.
Optometrist
730 N MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Lake County (847) 362-9900
DR. JOHN ICHISHITA O.D.
Optometrist
730 N MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Lake County (847) 362-9900
DR. JODY L RICKETTS OD
Optometrist
730 N MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Lake County (847) 362-9900
BRAIN-EYE EVOLUTION AT 730 NORTH
Optometrist (Vision Therapy)
730 N MILWAUKEE AVE
LIBERTYVILLE, IL 60048
Lake County (847) 362-9900

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 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.

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 BlueCross BlueShield of Tennessee 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 5 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.