Active NPI
Dobbs Eye Clinic P.a.
- Optometrist
- Enterprise, AL
National Provider Identifier
1679690143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528202440 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Enterprise, AL
- NPI 1669417150
-
- Optometrist
- Enterprise, AL
- NPI 1720103781
-
- Optometrist
- Ozark, AL
- NPI 1316050818
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.