Thomas Charles Sobot, O.D.
Individual provider Active NPI Optometrist · Apollo, PA
NPI 1962571356 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962571356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 06822P (PA)
- Practice address
- 4573 State Route 66
Apollo, PA 15613-2045 - Phone
- (724) 727-9800
- Fax
- (724) 727-9801
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06822P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert C. Wheatall, OD | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 06822P | PA | Yes |
Addresses
Primary practice location
4573 State Route 66
Apollo, PA 15613-2045
Mailing address
4573 State Route 66
Apollo, PA 15613-2045
Phone (724) 727-9800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014186380004 | Medicaid | PA |
Other providers in Apollo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.