Paul Raboin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3140 Issued in MI

Practice address

1114 S Stephenson Ave
Bay 9
Iron Mountain, MI 49801

Phone

(906) 774-8318

Fax

(906) 774-1603

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gartland Family Vision

  • Optometrist
  • Escanaba, MI
  • NPI 1881303956
  NPD (past)
• Northern Optical, Inc.

  • Eyewear Supplier
  • Iron Mountain, MI
  • NPI 1093867434
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710039169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3829 LAKE LOUISE DR N",
            "city": "VULCAN",
            "state": "MI",
            "postal_code": "498928465",
            "telephone_number": "906-563-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 S STEPHENSON AVE",
            "address_2": "BAY 9",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-8318",
            "fax_number": "906-774-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOIN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "3140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Prusi
• Lindsey Jo Prusi
• Psych-Services, PLLC
• Pulmonary and Primary Care Associates
• Nicholas Stuart Raboin, D.C.
• Radiology Associates of Iron Mountain P L C
• Elizabeth Grace Ramlow, OD
• Thom Joseph Rancour, LMSW
• Christine Margaret Rattin, DO
• Ray H Cameron MD PHD

• Optometrist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.