Individual provider Active NPI

Lauren Fox Rubin, O.D.

  • Optometrist
  • Rockville, MD
National Provider Identifier
1801097027
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA 1774 Issued in MD
Practice address
15200 Shady Grove Rd Ste 100
Rockville, MD 20850-3218
Phone
(301) 670-1212
Fax
(301) 216-9692
NPI assigned
May 29, 2007
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 TA 1774 MD Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 100
Rockville, MD 20850-3218

Mailing address

15200 Shady Grove Rd Ste 100
Rockville, MD 20850-3218
Phone (301) 670-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20081007000457 DC Practitioner - Optometry 7416025234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shady Grove Eye and Vision Care LLCGroup PAC ID 0042209231, 5 clinicians

Practice addresses (Care Compare)

15200 Shady Grove Rd
Suite 100
Rockville, MD 20850-3218
Phone (301) 670-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA 1774MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shady Grove Eye & Vision Care, LLC Optometrist CurrentSince May 5, 2014 Accepting new patients
Dr Alan N Glazier Optometrist PA Optometrist PastSince May 5, 2014 Accepting new patients
New Jersey Refractive Professional Corporation Optometrist Past Accepting new patients
Greenwich Eye Center Past Accepting new patients

Locations

15200 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 670-1212

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, 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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1801097027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218",
            "telephone_number": "301-670-1212",
            "fax_number": "301-216-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503218",
            "telephone_number": "301-670-1212",
            "fax_number": "301-216-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LAUREN",
        "middle_name": "FOX",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.