Albert Simon Licup, O.D.
NPI 1720011125ActiveIndividual· Optometrist· Oak Park, IL
Optometrist (O.D.) in Oak Park, Illinois, trained at Illinois College of Optometry at Chicago (class of 2006). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1720011125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jul 9, 2006 |
| Last updated in NPPES | May 28, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 046.009863 | IL |
| Optometrist | 152W00000X | 3056-035 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (IL) |
|---|
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Optometry |
Medical group
- Zeifert Eye Care LtdHighland Park, IL · 4 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 optometrists in Oak Park · All optometrists in Illinois