Individual provider Active NPI

Jason Keith Sober, OD

  • Optometrist
  • Nottingham, MD
National Provider Identifier
1285697888
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1481 Issued in MD
Practice address
8841C Belair Rd
Nottingham, MD 21236-2403
Phone
(410) 682-2888
Fax
(410) 682-9936
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1481 MD Primary

Addresses

Primary practice location

8841C Belair Rd
Nottingham, MD 21236-2403

Mailing address

8841C Belair Rd
Nottingham, MD 21236-2403
Phone (410) 682-2888

Other identifiers 1

IdentifierTypeStateIssuer
745162800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090603000418 MD Practitioner - Optometry 0547310120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8841 C Belair Rd
Nottingham, MD 21236-2403
Phone (410) 682-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sober Family Eye Care PA Optometrist CurrentSince Oct 1, 1995 Accepting new patients

Locations

8841C Belair Rd
Nottingham, MD 21236
Phone (410) 682-2888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1285697888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8841C BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362403",
            "telephone_number": "410-682-2888",
            "fax_number": "410-682-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841C BELAIR RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362403",
            "telephone_number": "410-682-2888",
            "fax_number": "410-682-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBER",
        "first_name": "JASON",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "745162800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.