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LAKESIDE OPHTHALMOLOGY CENTER
NPI 1386724771
Ophthalmology in Clinton Township, MI

Active since October 17, 2006CLIA 23D2114214 · Waiver
42524 HAYES RD, SUITE 400, CLINTON TOWNSHIP, MI 48038(586) 263-1168(586) 263-1169 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lakeside Ophthalmology Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE OPHTHALMOLOGY CENTER (NPI 1386724771) is a healthcare organization registered as an ophthalmology in Clinton Township, Michigan and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Robert G Mobley, President, as its authorized official.

NPPES Registry Identity

NPI1386724771
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameROBERT G MOBLEY MD PC
Location Address42524 HAYES RD, SUITE 400Clinton Township, MI 48038-6764
Mailing Address42524 Hayes Rd, Suite 400Clinton Township, MI 48038-6764 · (586) 263-1168 · Fax (586) 263-1169
Phone(586) 263-1168
Fax(586) 263-1169
Organization SubpartNo
Authorized OfficialRobert G MobleyPresident · (586) 263-1168
Enumeration DateOctober 17, 2006
Last NPPES UpdateJanuary 9, 2012
✔ NPI 1386724771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
42524 HAYES RD, Clinton Township, MI 48038
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Other Names 1

Doing Business AsLakeside Ophthalmology Center

Other Identifiers 1

Medicare PIN0P00370MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeside Ophthalmology Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lakeside Ophthalmology Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Mobley, MD
Ophthalmology
NPI 1467435537
42524 HAYES RD SUITE 400
Clinton Township, MI 48038
(586) 263-1168
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2114214

Lakeside Ophthalmology Center Robert G Mobley MD PC · Clinton Township, MI
Active · expires Jun 8, 2028
CLIA Number23D2114214
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorRobert G. Mobley
Laboratory Phone(586) 263-1168
Laboratory LocationLakeside Ophthalmology Center Robert G Mobley MD PC42524 Hayes Suite 400, Clinton Township, MI 48038
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert G Mobley MD PC's NPI number?

The NPI number for Robert G Mobley MD PC is 1386724771. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Lakeside Ophthalmology Center.

Where is Robert G Mobley MD PC located?

Robert G Mobley MD PC is located at 42524 Hayes Rd Suite 400, Clinton Township, MI 48038. The listed phone number is (586) 263-1168.

What is Robert G Mobley MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert G Mobley MD PC enrolled in Medicare?

Yes. Robert G Mobley MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert G Mobley MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Robert G Mobley MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Robert G Mobley MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2114214) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robert G Mobley MD PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Robert G Mobley MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert G Mobley MD PC was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.