Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Albert Simon Licup, OD

Individual provider Optometrist · NPI 1720011125

Dr. Albert Simon Licup, OD is an Optometry in Oak Park, Illinois. Graduated from Illinois College of Optometry at Chicago in 2006, 20 years ago. Practices with Zeifert Eye Care Ltd, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
20
Trained at
Illinois College of Optometry at Chicago
Licensed in
IL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

603 Madison St
Oak Park, IL 60302-4437
Phone: (708) 383-2150
Fax: (708) 383-2253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.009863 (IL)
Optometrist Taxonomy 152W00000X · Licence 3056-035 (WI)

Record details

NPI number1720011125
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESMay 28, 2009
Mailing address603 Madison St, Oak Park, IL 60302-4437

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2006 (20 years in practice)
Group practice Zeifert Eye Care Ltd — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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