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IndividualActivePrescriber

Vladislav Souboch

OD

Optometrist

NPI: 1174404867Oak Forest, Illinois, 60452(708) 645-6030Male

About Vladislav Souboch

Vladislav Souboch, OD, is a male healthcare professional specializing in Optometrist, registered under National Provider Identifier (NPI) number 1174404867. Their primary practice is located at 5115 152ND ST, Oak Forest, Illinois 60452.

Patients can reach the office at (708) 645-6030. Vladislav Souboch is authorized to prescribe medications. Vladislav Souboch has been NPI-registered since 2025.

Doctor Details

Identity & Credentials

NPI Number
1174404867
Entity Type
Individual
First Name
Vladislav
Last Name
Souboch
Credential
OD
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
5115 152ND ST
City
Oak Forest
State
Illinois
ZIP
60452-2357
Country
United States
Phone
(708) 645-6030

Specialty & Taxonomy

Primary Specialty
Optometrist
Classification
Optometrist
Taxonomy Code
152W00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
5115 152ND ST
City
OAK FOREST
State
IL
ZIP
604522357

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Vladislav Souboch's NPI number?
Vladislav Souboch's National Provider Identifier (NPI) is 1174404867. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Vladislav Souboch specialize in?
Vladislav Souboch specializes in Optometrist.
Where is Vladislav Souboch located?
Vladislav Souboch practices at 5115 152ND ST, Oak Forest, Illinois 60452. You can reach them by phone at (708) 645-6030.
Does Vladislav Souboch accept Medicare?
Based on available data, Vladislav Souboch is not currently enrolled in the Medicare program.
Does Vladislav Souboch offer telehealth or virtual visits?
Vladislav Souboch does not currently offer telehealth services. In-person visits are required at their practice location.
Can Vladislav Souboch prescribe medications?
Yes, Vladislav Souboch is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Vladislav Souboch is 1174404867.