Individual provider Active NPI

Sofia Ribolla, OD,MS

  • Student in an Organized Health Care Education/Training Program
  • Brooklyn, NY
National Provider Identifier
1548993231
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
800 Poly PL
Brooklyn, NY 11209-7104
Phone
(718) 836-6600
NPI assigned
Jul 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

800 Poly PL
Brooklyn, NY 11209-7104

Mailing address

373 Atlantic Ave FL 3
Brooklyn, NY 11217-1782
Phone (203) 571-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20230607002114 CT Practitioner - Optometry 9133586068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Norwalk Eye Care LLCGroup PAC ID 3577613587, 5 clinicians

Practice addresses (Care Compare)

2046 W Main St
Suite 2
Stamford, CT 06902-4523
Phone (203) 869-3082

5 Eversley Ave
Norwalk, CT 06851-5821

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
89.64
Promoting interoperability
95
Improvement activities
40
Cost
67.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Refocus Eye Health of Central Connecticut, P.C. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Norwalk Eye Care LLC Single Specialty CurrentSince Jan 27, 2025 Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. CurrentSince Jul 1, 2023 Accepting new patients

Locations

47 Jolley Dr
Bloomfield, CT 06002
Phone (860) 243-3020

5 Eversley Ave
Norwalk, CT 06851
Phone (203) 246-9073

5 Eversley Ave
Ste 301
Norwalk, CT 06851
Phone (203) 853-1010

1445 E Putnam Ave
Old Greenwich, CT 06870
Phone (203) 622-8600

2046 W Main St
Ste 2
Stamford, CT 06902
Phone (203) 869-3082

999 Summer St
Ste 105
Stamford, CT 06905
Phone (203) 359-2020

87 Grandview Ave
Ste B
Waterbury, CT 06708
Phone (203) 465-1424

Interoperability endpoints

  • Direct secure messaging: sribolla@refocus.intellechartdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1548993231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 ATLANTIC AVE FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171782",
            "telephone_number": "203-571-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 POLY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097104",
            "telephone_number": "718-836-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBOLLA",
        "first_name": "SOFIA",
        "name_prefix": "Dr.",
        "credential": "OD,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.