Active NPI
Robert S. Dubiel, LO
- Optician
- East Hartford, CT
National Provider Identifier
1932266558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 431
- Practice address
- 386 Burnside Ave
East Hartford, CT 06108 - Phone
- (860) 289-5555
- Fax
- (860) 528-6402
- NPI assigned
- Jan 2, 2007
- Last updated
- May 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | L0431 | CT | |
| Eyewear Supplier | 332H00000X | 1045 | CT | |
| Optician | 156FX1800X | 431 | CT | Primary |
Addresses
Primary practice location
386 Burnside Ave
East Hartford, CT 06108
Mailing address
386 Burnside Ave.
East Hartford, CT 06108
Phone (860) 289-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1045 | CT | MD | Eyewear Supplier |
| L0431 | CT | MD | Eyewear Supplier |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trimble Vision Services, LLC | Past | Accepting new patients | |
| Ste. Marie Opticians Inc | Optician | Past | Accepting new patients |
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.
-
- Optician
- East Hartford, CT
- NPI 1730564881
-
- Optometrist
- West Hartford, CT
- NPI 1093841967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1932266558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 BURNSIDE AVE.",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06108",
"telephone_number": "860-289-5555",
"fax_number": "860-528-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 BURNSIDE AVE",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06108",
"telephone_number": "860-289-5555",
"fax_number": "860-528-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIEL",
"first_name": "ROBERT",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "LO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CT",
"license": "L0431",
"primary": false
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "CT",
"license": "1045",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CT",
"license": "431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.