Individual provider Active NPI

Miles Sabatini, OD

  • Optometrist
  • San Rafael, CA
National Provider Identifier
1689287880
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34674 Issued in CA
Practice address
4000 Civic Center Dr Ste 200
San Rafael, CA 94903-5232
Phone
(415) 444-0300
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34674 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr Ste 200
San Rafael, CA 94903-5232

Mailing address

295 Lenox Ave Apt 304
Oakland, CA 94610-4655
Phone (818) 522-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210226001370 CA Practitioner - Optometry 2567877418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sakai and Junge Optometry CorpGroup PAC ID 6305315789, 4 clinicians
Rockridge OptometryGroup PAC ID 8921036203, 4 clinicians

Practice addresses (Care Compare)

5321 College Ave
Oakland, CA 94618-1416
Phone (510) 655-3797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34674CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Sakai and Junge Optometry Corp. Optometrist CurrentSince Jun 10, 2024 Accepting new patients
Berkeley California Optometric, Inc Optometrist CurrentSince Jun 1, 2022 Accepting new patients
East Bay Eye Centers Medical Corporation PastSince Jun 1, 2022 Accepting new patients

Locations

1313 Solano Ave
Albany, CA 94706
Phone (510) 526-0194

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

27271 Las Ramblas
Ste 200
Mission Viejo, CA 92691
Phone (949) 651-7236

5321 College Ave
Oakland, CA 94618
Phone (510) 655-3797

5515 Geary Blvd
San Francisco, CA 94121
Phone (415) 387-3553

Organizations & group practices 4

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1689287880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 LENOX AVE APT 304",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104655",
            "telephone_number": "818-522-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 200",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035232",
            "telephone_number": "415-444-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINI",
        "first_name": "MILES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.