Organization Active NPI

Dobbs Eye Clinic P.a.

  • Optometrist
  • Enterprise, AL
National Provider Identifier
1679690143
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOBBS EYE CLINIC P.A.
Practice address
207 S Main St
Enterprise, AL 36330-2544
Phone
(334) 347-8900
Fax
(334) 347-1480
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ms. Kimberly Lynn Hutchinson
Title
Office Manager
Phone
(334) 347-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

207 S Main St
Enterprise, AL 36330-2544

Mailing address

PO Box 311390
Enterprise, AL 36331-1390
Phone (334) 347-8900

Other identifiers 1

IdentifierTypeStateIssuer
528202440MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111001036 AL Part B Supplier - Clinic/Group Practice 0042233421 Receives reassigned benefits from 2 practitioners
Practice locations: Enterprise, AL

National Provider Directory

National Provider Directory

Locations

207 S Main St
Enterprise, AL 36330
Phone (334) 347-8900

801 N Wilson St
Geneva, AL 36340

Practitioners & affiliated clinicians

Practitioners 3

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1679690143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311390",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363311390",
            "telephone_number": "334-347-8900",
            "fax_number": "334-347-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302544",
            "telephone_number": "334-347-8900",
            "fax_number": "334-347-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBBS EYE CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-347-8900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528202440",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.