Vladislav Souboch, OD - Optometrist in Oak Forest, IL

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Vladislav Souboch, OD is a Optometrist based in Oak Forest, Illinois. Vladislav Souboch is licensed to practice in Illinois (license number 046.012029) and his current practice location is 5115 152nd St, Oak Forest, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 645-6030.

NPI number for Vladislav Souboch is 1174404867 and his current mailing address is 5115 152nd St, Oak Forest, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174404867.

Contact Information

Vladislav Souboch, OD
5115 152nd St,
Oak Forest, IL 60452-2357
(708) 645-6030
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameVladislav Souboch
GenderMale
SpecialityOptometrist
Location5115 152nd St, Oak Forest, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174404867
  • Provider Enumeration Date: 09/09/2025
  • Last Update Date: 09/09/2025

Medical Identifiers

Medical identifiers for Vladislav Souboch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174404867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 046.012029 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vladislav Souboch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vladislav Souboch, OD
5115 152nd St,
Oak Forest, IL 60452-2357

Ph: () -		Vladislav Souboch, OD
5115 152nd St,
Oak Forest, IL 60452-2357

Ph: (708) 645-6030

Reviews and Comments


Optometrist in Oak Forest, IL

Mrs. Linda J Adkins,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 15900 S Cicero Ave, Oak Forest, IL 60452
Phone: 708-633-3478    Fax: 708-633-3449
Eyecare At Home
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 5320 W 159th St, Suite 100, Oak Forest, IL 60452
Phone: 708-798-8112    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.