Individual provider Active NPI

Robert A Sobel, O.D.

  • Optometrist
  • Detroit, MI
National Provider Identifier
1194814780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003252 Issued in MI
Practice address
2424 E 8 Mile Rd
Detroit, MI 48234-1010
Phone
(313) 366-5100
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003252 MI Primary

Addresses

Primary practice location

2424 E 8 Mile Rd
Detroit, MI 48234-1010

Mailing address

2424 E 8 Mile Rd
Detroit, MI 48234-1010
Phone (313) 366-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20131216001083 MI Practitioner - Optometry 6002043205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27641 Southfield Rd
Lathrup Village, MI 48076-7902
Phone (248) 864-8523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003252MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobel Eye Care, PLLC Optometrist CurrentSince Sep 2, 2013 Accepting new patients
Wce, LLC Optometrist Past Accepting new patients
Wce, LLC Past Accepting new patients

Locations

27641 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 506-8037

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194814780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341010",
            "telephone_number": "313-366-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482341010",
            "telephone_number": "313-366-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.