Robert G Mobley MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROBERT G MOBLEY MD PC

Doing business as

Lakeside Ophthalmology Center

Practice address

42524 Hayes Rd
Suite 400
Clinton Township, MI 48038-6764

Phone

(586) 263-1168

Fax

(586) 263-1169

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert G Mobley, MDNPI 1467435537

Title

President

Phone

(586) 263-1168

Specialties & licenses 1

Addresses

Other names 1

• Lakeside Ophthalmology Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert G Mobley, MD

  • Ophthalmology Physician
  • Clinton Township, MI
  • NPI 1467435537
  Medicare reassignment NPD Authorized official
• Sean G Connolly, O.D.

  • Optometrist
  • Macomb, MI
  • NPI 1316980394
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1386724771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42524 HAYES RD",
            "address_2": "SUITE 400",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386764",
            "telephone_number": "586-263-1168",
            "fax_number": "586-263-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42524 HAYES RD",
            "address_2": "SUITE 400",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386764",
            "telephone_number": "586-263-1168",
            "fax_number": "586-263-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G MOBLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-263-1168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Ophthalmology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Rivard, M.D.
• Elizabeth Rivera, LPN
• Elizabeth Marie Rivera
• Riverview Macomb Home & Attendant Care, LLC
• Darille Roark
• Robert G Prieur DDS PLC
• Robert J Franchi D O P C
• Christine Marie Roberts, RN, BSN
• Christopher Charles Roberts
• Rachel Marie Roberts

• Ophthalmology Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.