Active NPI
Soby Abraham, OD
- Optometrist
- Garland, TX
National Provider Identifier
1184756165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6502TG
- Practice address
- 3121 N George Bush Frwy.
Suite#101
Garland, TX 75040 - Phone
- (972) 495-7772
- Fax
- (972) 495-9393
- NPI assigned
- Mar 12, 2007
- Last updated
- Mar 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6502TG | TX | Primary |
Addresses
Primary practice location
3121 N George Bush Frwy.
Suite#101
Garland, TX 75040
Mailing address
3121 N George Bush Hwy
Suite#101
Garland, TX 75040-2752
Phone (972) 495-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3121 N George Bush Hwy
Suite 101
Garland, TX 75040-2753
Phone (972) 495-7772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6502 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focused Eye Care, PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Garland, TX
- NPI 1427215144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1184756165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 N GEORGE BUSH HWY",
"address_2": "SUITE#101",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402752",
"telephone_number": "972-495-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 N GEORGE BUSH FRWY.",
"address_2": "SUITE#101",
"city": "GARLAND",
"state": "TX",
"postal_code": "75040",
"telephone_number": "972-495-7772",
"fax_number": "972-495-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "SOBY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6502TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.