Active NPI
The Brain and Eye Institute LLC
- Neurology Physician
- Phoenix, AZ
National Provider Identifier
1396456364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- THE BRAIN AND EYE INSTITUTE LLC
- Practice address
- 3877 N 7TH St Ste 200
Phoenix, AZ 85014-5084 - Phone
- (623) 777-7716
- NPI assigned
- Dec 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Obada Subei, MD
- Title
- Owner
- Phone
- (623) 777-7716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Registered Dietitian | 133V00000X | |||
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Neuro-ophthalmology Physician | 207WX0109X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
3877 N 7TH St Ste 200
Phoenix, AZ 85014-5084
Mailing address
PO Box 34202
Phoenix, AZ 85067-4202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3877 N 7th St
Ste 200
Phoenix, AZ 85014
Phone (623) 777-7716
6401 E Thomas Rd
Ste 105
Scottsdale, AZ 85251
Phone (480) 941-4400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678752000000",
"number": "1396456364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34202",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850674202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3877 N 7TH ST STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145084",
"telephone_number": "623-777-7716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BRAIN AND EYE INSTITUTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-09",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A",
"authorized_official_last_name": "SUBEI",
"authorized_official_first_name": "OBADA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-777-7716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.