Rebecca Dobbins, O.D.
Individual provider Active NPI Optometrist · Coffeyville, KS
NPI 1548264245 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1548264245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1650 (KS)
- Practice address
- 301 W 11TH St
Coffeyville, KS 67337-5904 - Phone
- (620) 251-1540
- Fax
- (620) 251-1260
- NPI assigned
- Jun 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
301 W 11TH St
Coffeyville, KS 67337-5904
Phone (620) 251-1540
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 63 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050512000531 | KS | Practitioner - Optometry | 7911948617 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1650 | KS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca Dobbins, O.D., P.a. | Optometrist | Current |
Accepting new patients |
| Grisham Eye Associates PC | Past |
Accepting new patients |
Locations
301 W 11th St
Coffeyville, KS 67337
Phone (620) 251-1540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1650 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100642280B | Medicaid | KS |
Other providers in Coffeyville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.