DR. GEORGE ALBERT ROEBUCK (O.D.) – Optometrist, NPI 1720094287

DR. GEORGE ALBERT ROEBUCK (O.D.) is a healthcare provider. based in Morris, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-007227 (IL). The NPI Number for DR. GEORGE ALBERT ROEBUCK (O.D.) is 1720094287

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE ALBERT ROEBUCK (O.D.)
NPI
1720094287
Phone
(815) 942-1951
Address
113 E JEFFERSON ST
Enumeration Date
1 August 2006
Last Update Date
16 September 2014

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8159421951
Graduation Year
1979 (47 years ago)
PAC ID
5092888420
Group Practice PAC ID
4082078076
Professional Enrollment ID
I20080718000181
Address ID
IL604502102MO124XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

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Provider Addresses for DR. GEORGE ALBERT ROEBUCK (O.D.)

  • 113, Jefferson Street, Daingerfield, Morris County, Texas, 75638, United States

    MORRIS, IL 604502101

    Phone: (815) 942-1951

    Fax: (815) 942-1958

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($22).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080718000181IOptometryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
66984Removal of cataract with insertion of prosthetic lens7,17045$0
99214Established patient office or other outpatient visit, 30-39 minutes334327$0
99213Established patient office or other outpatient visit, 20-29 minutes13886$0
92250Photography of the retina9993$0
99204New patient office or other outpatient visit, 45-59 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 60450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082078076View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

What identifier follows DR. GEORGE ALBERT ROEBUCK (O.D.) across health systems?
The NPI 1720094287 uniquely identifies DR. GEORGE ALBERT ROEBUCK (O.D.) in U.S. healthcare data.
Does the public listing show DR. GEORGE ALBERT ROEBUCK (O.D.) as active?
DR. GEORGE ALBERT ROEBUCK (O.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. GEORGE ALBERT ROEBUCK (O.D.) provide?
DR. GEORGE ALBERT ROEBUCK (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. GEORGE ALBERT ROEBUCK (O.D.) tied to Morris, Illinois?
If you are local to Morris, Illinois, DR. GEORGE ALBERT ROEBUCK (O.D.) may be relevant to your search.
Can I export DR. GEORGE ALBERT ROEBUCK (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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