Provider Demographics
NPI:1407052582
Name:DRABINSKY, MICHAEL E (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:DRABINSKY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 E. BELL RD.
Mailing Address - Street 2:STE# 45-429
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2308
Mailing Address - Country:US
Mailing Address - Phone:213-290-4733
Mailing Address - Fax:
Practice Address - Street 1:4727 E. BELL RD.
Practice Address - Street 2:STE# 45-429
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2308
Practice Address - Country:US
Practice Address - Phone:213-290-4733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13245152W00000X
AZ2232152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAANS58YMedicare UPIN