MEDICARE: SOPHIA ELIZABETH GRABIEL OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4901005641	MI

General Provider Information

NPI Number	:	1396476727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA ELIZABETH GRABIEL OD

Provider Business Mailing Address
First Line	:	8614 WESTWOOD CENTER DR FL 9
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-2442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 E CHISHOLM ST STE A
Second Line	:
City	:	ALPENA
State	:	MI
Zip	:	49707-2862
Country	:	US
Telephone Number	:	989-354-5890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	12/09/2025

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