Pat Mobley, LDO, ABOC, NCLEC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

349 Issued in SC

Practice address

733 Fashion Dr
Columbia, SC 29229-7936

Phone

(803) 223-0778

NPI assigned

May 22, 2023

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1932891660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 LAKE SHIRE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290737854",
            "telephone_number": "803-743-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 FASHION DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297936",
            "telephone_number": "803-223-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "PAT",
        "name_prefix": "Mrs.",
        "credential": "LDO, ABOC, NCLEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Podiatry South Carolina (Special Care Podiatry of South Carolina)
• Mobile Radiology & Ekg of Carolina, Inc. (RADS Mobile X-ray or RADS Mobile X-ray & Digital Imaging)
• Mobile Tech, LLC
• Carly Dorothy Mobley, MD
• Jennifer Anne Mobley, LPC
• Rachel Elizabeth Mobley
• Kathryn S Mock, FNP
• Maria Hope Mayor Modesto, M.D.
• Joseph Robert Modzelewski, M.D.
• Emma Gray Moen

• Optician in Columbia, SC
• Providers in Columbia, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.