Individual provider Active NPI

Brenda Marie Dobie, O.D.

  • Optometrist
  • Saratoga Springs, NY
National Provider Identifier
1225099708
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006987 Issued in NY
Practice address
414 Maple Ave
Saratoga Springs, NY 12866-5550
Phone
(518) 587-2020
Fax
(518) 587-2027
NPI assigned
Apr 1, 2006
Last updated
Jan 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006987 NY Primary
Optometrist 152W00000X OPC3855 FL

Addresses

Primary practice location

414 Maple Ave
Saratoga Springs, NY 12866-5550

Mailing address

414 Maple Ave
Saratoga Springs, NY 12866-5550
Phone (518) 587-2020

Other names 1

  • Dr. Brenda Marie Faulhaber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060428000502 NY Practitioner - Optometry 5193618775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Eye Physicians and Surgeons PCGroup PAC ID 7012999147, 2 clinicians

Practice addresses (Care Compare)

152 Bay St
Glen Falls, NY 12801-2329
Phone (518) 792-4140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006987NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Eye Physicians & Surgeons PC Optometrist CurrentSince Jan 1, 2006 Accepting new patients
Bay Optical, Inc Past Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Bay Optical, Inc Past Accepting new patients

Locations

152 Bay St
Glens Falls, NY 12801
Phone (518) 792-1300

414 Maple Ave
Ste 400
Saratoga Springs, NY 12866
Phone (518) 587-2020

Organizations & group practices 5

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": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1225099708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-587-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665550",
            "telephone_number": "518-587-2020",
            "fax_number": "518-587-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIE",
        "first_name": "BRENDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006987",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3855",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "FAULHABER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.