Individual provider Active NPI

Robert Mobley, OD

  • Optometrist
  • Acworth, GA
National Provider Identifier
1609801323
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002200 Issued in GA
Practice address
1720 Mars Hill Rd NW Ste 160
Acworth, GA 30101-8089
Phone
(770) 529-1925
Fax
(770) 529-1982
NPI assigned
Jul 11, 2006
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002200 GA Primary

Addresses

Primary practice location

1720 Mars Hill Rd NW Ste 160
Acworth, GA 30101-8089

Mailing address

1720 Mars Hill Rd NW Ste 160
Acworth, GA 30101-8089
Phone (770) 529-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050106000739 GA Practitioner - Optometry 8729036769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecontact Inc.Group PAC ID 2264526649, 2 clinicians
Vision OnsiteGroup PAC ID 7517495625, 4 clinicians

Practice addresses (Care Compare)

1720 Mars Hill Rd NW
Suite 160
Acworth, GA 30101-8089
Phone (770) 529-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecontact Inc. Optometrist CurrentSince Nov 1, 2006 Accepting new patients
Vision Onsite LLC Optometrist Current Accepting new patients
Mobile Medical Eye Care LLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Vision Onsite Optometrist CurrentSince Aug 3, 2024 Accepting new patients
LTC Eyecare Inc Optometrist Past Accepting new patients
Mobley Riverdale Eye Clinic Inc Optometrist Past Accepting new patients
TJ Roberts, LLC Optometrist PastSince Oct 1, 2019 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist Past Accepting new patients
B.Dean Mobley, O.D., P.C. Optometrist PastSince Jan 9, 2019 Accepting new patients

Locations

1720 Mars Hill Rd NW
Ste 160
Acworth, GA 30101
Phone (770) 529-1925

3500 Annandale Ln
Suwanee, GA 30024
Phone (678) 765-4848

12910 Shelbyville Rd
Ste 128
Louisville, KY 40243

Interoperability endpoints

  • Direct secure messaging: wes@eyecontactacworth.emadirect.md
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1609801323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 160",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018089",
            "telephone_number": "770-529-1925",
            "fax_number": "770-529-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MARS HILL RD NW STE 160",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018089",
            "telephone_number": "770-529-1925",
            "fax_number": "770-529-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.