Organization Active NPI

Rebecca Dobbins, O.D., P.a.

  • Optometrist
  • Coffeyville, KS
National Provider Identifier
1154420248
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REBECCA DOBBINS, O.D., P.A.
Practice address
301 W 11TH St
Coffeyville, KS 67337-5904
Phone
(620) 251-1540
Fax
(620) 251-1260
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Rebecca Dobbins, O.D., P.A.NPI 1548264245
Title
Owner
Phone
(620) 251-1540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

301 W 11TH St
Coffeyville, KS 67337-5904

Mailing address

301 W 11TH St
Coffeyville, KS 67337-5904
Phone (620) 251-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060901000217 KS Part B Supplier - Clinic/Group Practice 3375547474 Receives reassigned benefits from 1 practitioner
Practice locations: Coffeyville, KS
O20100930010446 KS DME Supplier - Physician - Optometrist 3375547474 Practice locations: Coffeyville, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rebecca Dobbins, O.D., P.a.301W 11TH St, Coffeyville, KS 67337-5904(620) 251-1540 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jul 26, 2006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1154420248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375904",
            "telephone_number": "620-251-1540",
            "fax_number": "620-251-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375904",
            "telephone_number": "620-251-1540",
            "fax_number": "620-251-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA DOBBINS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-251-1540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.