Individual provider Active NPI

Alexandra Elizabeth Dockins, OD

  • Optometrist
  • Moberly, MO
National Provider Identifier
1841030780
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2024019018 Issued in MO
Practice address
1633 S Morley St
Moberly, MO 65270-1938
Phone
(573) 874-2030
Fax
(573) 449-0253
NPI assigned
May 29, 2024
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2024019018 MO Primary

Addresses

Primary practice location

1633 S Morley St
Moberly, MO 65270-1938

Mailing address

500 N Keene St Ste 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Other practice location 1

500 N Keene St Ste 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703000325 MO Practitioner - Optometry 6002350923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Consultants OptometryGroup PAC ID 2769574714, 14 clinicians

Practice addresses (Care Compare)

500 N Keene St
Suite 103
Columbia, MO 65201-8104
Phone (573) 874-2030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Consultants Optometry Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Columbia Eyewear Single Specialty PastSince Jun 2, 2024 Accepting new patients

Locations

500 N Keene St
Ste 103
Columbia, MO 65201
Phone (573) 874-2030

1633 S Morley St
Moberly, MO 65270
Phone (573) 874-2030

Interoperability endpoints

  • Direct secure messaging: allie.dockins@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1841030780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N KEENE ST STE 103",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018104",
            "telephone_number": "573-874-2030",
            "fax_number": "573-449-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652701938",
            "telephone_number": "573-874-2030",
            "fax_number": "573-449-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 N Keene St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018104",
            "country_code": "US",
            "telephone_number": "573-874-2030",
            "fax_number": "573-449-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKINS",
        "first_name": "ALEXANDRA",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2024019018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.