Active NPI
Kera Hope Dobbins, OD
- Optometrist
- Phoenix, AZ
National Provider Identifier
1275216889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2731
- Practice address
- 9424 N 25TH Ave
Phoenix, AZ 85021-2714 - Phone
- (602) 633-6900
- NPI assigned
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2731 | AZ | Primary |
Addresses
Primary practice location
9424 N 25TH Ave
Phoenix, AZ 85021-2714
Mailing address
9535 W Runion Dr
Peoria, AZ 85382-5137
Phone (918) 520-1686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2731 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1275216889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9535 W RUNION DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825137",
"telephone_number": "918-520-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9424 N 25TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212714",
"telephone_number": "602-633-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBINS",
"first_name": "KERA",
"middle_name": "HOPE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.