Individual provider Active NPI

Sandra J Robel-Hall, O.D.

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1427044809
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003563A Issued in IN
Practice address
10240 Coldwater Rd
Fort Wayne, IN 46825-2035
Phone
(260) 497-8626
Fax
(260) 627-2011
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003563A IN Primary

Addresses

Primary practice location

10240 Coldwater Rd
Fort Wayne, IN 46825-2035

Mailing address

10529 Hosler Rd Ste a
Leo, IN 46765-9736
Phone (260) 627-2669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111110000885 IN Practitioner - Optometry 9234303173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Crossing Blvd
Suite 300
Framingham, MA 01702-5555

11506 Fox Valley Run
Fort Wayne, IN 46845-2013

PO Box
Suite 549
Wabash, IN 46992

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, PC Optometrist CurrentSince Dec 5, 2023 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Oct 28, 2024 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince Oct 28, 2024 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Dec 5, 2023 Accepting new patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Westrick Family Eye Care P C Optometrist Past Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist Past Accepting new patients
Better Visions, P.C. Optometrist PastSince Jun 28, 2016 Accepting new patients

Locations

1601 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 744-2273

301 J St
Laporte, IN 46350
Phone (219) 326-9569

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 8

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1427044809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 HOSLER RD STE A",
            "city": "LEO",
            "state": "IN",
            "postal_code": "467659736",
            "telephone_number": "260-627-2669",
            "fax_number": "260-627-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252035",
            "telephone_number": "260-497-8626",
            "fax_number": "260-627-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBEL-HALL",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003563A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.