What is Vladislav Souboch's NPI number?

Vladislav Souboch's National Provider Identifier (NPI) is 1174404867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Vladislav Souboch's specialty?

Vladislav Souboch is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).

Where is Vladislav Souboch located?

Vladislav Souboch's practice location on file with NPPES is 5115 152nd St, Oak Forest, IL 60452-2357.

What is Vladislav Souboch's phone number?

The practice phone number listed in the NPPES registry for Vladislav Souboch is (708) 645-6030.

Is Vladislav Souboch's NPI active?

Yes — Vladislav Souboch's NPI (1174404867) is active in the NPPES registry as of the last update on 2025-09-09.

IndividualActive

Vladislav Souboch, OD

NPI 1174404867 · Optometrist · Oak Forest, IL

Vladislav Souboch, OD is a Optometrist provider in Oak Forest, IL (NPI 1174404867).

Provider details

NPI number: 1174404867
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: OD
Sex: Male
Sole proprietor: No
License: 046.012029 (IL)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 046.012029 (IL)
Eye and Vision Services Providers

Profile Score

Established profile(54/100 index)

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

5115 152nd St

Oak Forest, IL 60452-2357

Phone: (708) 645-6030

Street-level locationGet directions

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Mailing address