Individual provider Active NPI

Steven L. Labroff, O.D.

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1023100963
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ 1515 Issued in AZ
Practice address
2174 E Williams Field Rd
Ste 124
Gilbert, AZ 85295-0745
Phone
(480) 786-9845
NPI assigned
Sep 29, 2006
Last updated
Jun 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ 1515 AZ Primary

Addresses

Primary practice location

2174 E Williams Field Rd
Ste 124
Gilbert, AZ 85295-0745

Mailing address

12745 E Desert Cove Ave
Scottsdale, AZ 85259-4320
Phone (480) 393-3019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000291 AZ Practitioner - Optometry 0547356958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2174 E Williams Field Rd
Suite 124
Gilbert, AZ 85295-0748
Phone (480) 786-9845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ 1515AZMDOptometrist
1515AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
San Tan Village Eye Care LLC Optometrist CurrentSince Oct 26, 2007 Accepting new patients

Locations

2174 E Williams Field Rd
Ste 124
Gilbert, AZ 85295
Phone (480) 786-0195

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1023100963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 E DESERT COVE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594320",
            "telephone_number": "480-393-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 E WILLIAMS FIELD RD",
            "address_2": "STE 124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950745",
            "telephone_number": "480-786-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABROFF",
        "first_name": "STEVEN",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ 1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.