Individual provider Active NPI

Jason Michael Drobeck, O.D.

  • Optometrist
  • Barstow, CA
National Provider Identifier
1710368139
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15220TLG Issued in CA
Practice address
1356 A. East Main St.
Barstow, CA 92311-3241
Phone
(760) 256-8014
Fax
(760) 256-8568
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15220TLG CA Primary

Addresses

Primary practice location

1356 A. East Main St.
Barstow, CA 92311-3241

Mailing address

1356 A. East Main St.
Barstow, CA 92311-3241
Phone (760) 256-8014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20181031001419 OR Practitioner - Optometry 3072826171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

100 Mullins Dr
Suite B3
Lebanon, OR 97355-2868
Phone (541) 451-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15220CAMDClinical Neuropsychologist
15220TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Linn County Vision Center, LLC Optometrist CurrentSince Sep 16, 2018 Accepting new patients
Eyecare Associates PC Optometrist CurrentSince Jun 1, 2025 Accepting new patients

Locations

2169 14th Ave SE
Albany, OR 97322
Phone (541) 926-2061

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

100 Mullins Dr
Ste B3
Lebanon, OR 97355
Phone (541) 451-5808

2930 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 614-0946

Organizations & group practices 2

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1710368139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 A. EAST MAIN ST.",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113241",
            "telephone_number": "760-256-8014",
            "fax_number": "760-256-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 A. EAST MAIN ST.",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113241",
            "telephone_number": "760-256-8014",
            "fax_number": "760-256-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROBECK",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15220TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.