Dorothy Erin Dobleo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 4092 Issued in FL

Practice address

9397 San Jose Blvd
Suite 2
Jacksonville, FL 32257-5587

Phone

(904) 730-2299

Fax

(904) 730-2557

NPI assigned

Jul 19, 2006

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Care PAGroup PAC ID 7012064405, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Vision Care PA

  dba Vision Today

  • Optometrist
  • Jacksonville, FL
  • NPI 1477582278
  Medicare reassignment Care Compare group NPD
• Val-U-Vision of Beauclerc-Mandarin Inc

  • Optometrist
  • Jacksonville, FL
  • NPI 1255361416
  Medicare reassignment NPD
• Vision Today PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1538650155
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1073532735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575587",
            "telephone_number": "904-730-2299",
            "fax_number": "904-730-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 SAN JOSE BLVD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575587",
            "telephone_number": "904-730-2299",
            "fax_number": "904-730-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLEO",
        "first_name": "DOROTHY",
        "middle_name": "ERIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000967900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1900Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tad C Doan, DO
• Mark Alan Dobbertien, D.O.
• Robert Newton Dobbins III, RPH
• Gloria Myriam Dobies, ARNP
• Ashley Doble
• Marcela Ioana Dobren, MD
• Alan Dobritch
• Vincent J. Dobrovich, ARNP
• Cathryn Elizabeth Dobrowolski, M.S.
• Cristin Scott Dobrowolski, MS, LCSW

• Optometrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.