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Active NPI 1174404867 Individual Practitioner Male Practitioner

Dr. Vladislav Souboch , OD

Optometrist • Oak Forest, IL

Professional Overview & Biography Verified Profile Summary

Dr. Vladislav Souboch, OD is a registered healthcare professional specializing in Optometrist in Oak Forest, IL. Practice services are available at 5115 152ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5115 152nd St

Oak Forest, IL 604522357

Telephone 7086456030

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Oak Forest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Oak Forest, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-09
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046.012029

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 09, 2025

NPI status registered as active in NPPES database

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Updated Practice Location September 09, 2025

Registered at 5115 152ND ST, OAK FOREST, IL 604522357 (Tel: 7086456030)

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Updated Business Mailing Address September 09, 2025

Registered at 5115 152ND ST, OAK FOREST, IL 604522357

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Provider Name / Credentials Updated September 09, 2025

Recorded as VLADISLAV SOUBOCH, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2025

Optometrist (License #046.012029 in IL)

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Initial NPI Registration & Enumeration September 09, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174404867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2025
Last Update: September 09, 2025
Sole Proprietor: No

Mailing Address

5115 152nd St

Oak Forest, IL 604522357

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.