Active NPI
Lindsey Sabol, O.D
- Optometrist
- Wilkes Barre, PA
National Provider Identifier
1366880510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002782
- Practice address
- 3540 Mundy Street
Wilkes Barre, PA 18702 - Phone
- (570) 822-1800
- NPI assigned
- Jun 10, 2013
- Sex
- Female
- 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 | OEG002782 | PA | Primary |
Addresses
Primary practice location
3540 Mundy Street
Wilkes Barre, PA 18702
Mailing address
3540 Mundy Street
Wilkes Barre, PA 18702
Phone (570) 822-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002782 | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1366880510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 MUNDY STREET",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-822-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 MUNDY STREET",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-822-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABOL",
"first_name": "LINDSEY",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-10",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.