Forest Bluff Optometry LLC
NPI 1104628478 · Optometrist · Lake Bluff, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Forest Bluff Optometry LLC is a Optometrist organization in Lake Bluff, IL (NPI 1104628478).
Provider details
- NPI number
- 1104628478
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Diana Yin, Owner/Optometrist(815) 501-7419
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-03-26
- Certified
- 2025-03-24
Frequently asked questions
- What is Forest Bluff Optometry LLC's NPI number?
- Forest Bluff Optometry LLC's National Provider Identifier (NPI) is 1104628478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Forest Bluff Optometry LLC?
- Forest Bluff Optometry LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Forest Bluff Optometry LLC located?
- Forest Bluff Optometry LLC's practice location on file with NPPES is 207-209 N. Waukegan Rd, Lake Bluff, IL 60044.
- What is Forest Bluff Optometry LLC's phone number?
- The practice phone number listed in the NPPES registry for Forest Bluff Optometry LLC is (815) 501-7419.
- Does Forest Bluff Optometry LLC accept Medicare?
- Forest Bluff Optometry LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Forest Bluff Optometry LLC?
- The authorized official listed on Forest Bluff Optometry LLC's NPPES record is Diana Yin, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Forest Bluff Optometry LLC's NPI active?
- Yes — Forest Bluff Optometry LLC's NPI (1104628478) is active in the NPPES registry as of the last update on 2025-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.