Robert Michael Dobrusin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0656 Issued in MD

Practice address

1311 Londontown Blvd
Suite # 100
Eldersburg, MD 21784-6454

Phone

(410) 795-5588

Fax

(410) 795-5648

NPI assigned

Mar 17, 2006

Last updated

Jan 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canton Crossing Optometry, LLC

  dba MyEyeDr

  • Optometrist
  • Baltimore, MD
  • NPI 1326474263
  NPD
• Myeyedr Optometry of Maryland LLC

  dba MyEyeDr

  • Optometrist
  • Hunt Valley, MD
  • NPI 1902212996
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr.

  • Optometrist
  • Laurel, MD
  • NPI 1972900058
  NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1467411603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE # 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 LONDONTOWN BLVD",
            "address_2": "SUITE # 100",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846454",
            "telephone_number": "410-795-5588",
            "fax_number": "410-795-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRUSIN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3573538",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Devincent, LCPC
• Amit Singh Dhanda
• Lynn Ann Difatta, LCSW-C
• Heidi A Diliberto, LCPC, LCPAT
• Discoveries Counseling and Consulting
• Claudia Marie Dorsey, CRNP
• DRS Feldman, Perl & Mez (Central Maryland Phototherapy Center)
• DRS Perl and Feinerman P.a.
• DRS. Branoff and Kress P.a. (Dr. Edward Silverman Orthodontics)
• DRS. Wiener & Daniels DPM.PA

• Optometrist in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.