Individual provider Active NPI

Lucia Sobrin, MD, MPH

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1376534362
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
216825 Issued in MA
Practice address
243 Charles St FL 12
Massachusetts Eye and Ear Infirmary
Boston, MA 02114-3002
Phone
(617) 573-4279
Fax
(617) 573-3011
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 216825 MA Primary
Surgery Physician 208600000X 216825 MA

Addresses

Primary practice location

243 Charles St FL 12
Massachusetts Eye and Ear Infirmary
Boston, MA 02114-3002

Mailing address

243 Charles St FL 12
Massachusetts Eye and Ear Infirmary
Boston, MA 02114-3002
Phone (617) 573-4279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000624 MA Practitioner - Ophthalmology 8729018213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216825MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology CurrentSince Mar 1, 2016 Accepting new patients
Massachusetts Eye and Ear Infirmary Current Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology Past Accepting new patients

Locations

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

243 Charles St
Fl 12
Boston, MA 02114
Phone (617) 523-7900

243 Charles St
Fl 11
Boston, MA 02114
Phone (617) 573-4306

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

1 Montvale Ave
Stoneham, MA 02180
Phone (781) 279-0971

Interoperability endpoints

  • Direct secure messaging: sobrin.lucia.meei@direct.partners.masshiway.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1376534362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST FL 12",
            "address_2": "MASSACHUSETTS EYE AND EAR INFIRMARY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-4279",
            "fax_number": "617-573-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST FL 12",
            "address_2": "MASSACHUSETTS EYE AND EAR INFIRMARY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-4279",
            "fax_number": "617-573-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBRIN",
        "first_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "216825",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "216825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.