Individual provider Active NPI

Scott William Dobson, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1982799094
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1995 Issued in CO
Practice address
1113 S Abilene CT
Aurora, CO 80012-3685
Phone
(303) 755-9447
Fax
(303) 755-2140
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-1023 ID
Optometrist 152W00000X 3469 WA
Optometrist 152W00000X 1995 CO Primary

Addresses

Primary practice location

1113 S Abilene CT
Aurora, CO 80012-3685

Mailing address

9400 E Hampden Ave Ste 1
Denver, CO 80231-5414
Phone (720) 748-1800

Other identifiers 8

IdentifierTypeStateIssuer
220810OtherCOEYEMED
226106OtherCOCLARITY
49134OtherCODAVIS VISION
743117694OtherCOSUPERIOR VISION
22826OtherCOAVESIS
23023OtherCOSPECTERA VISION
26127OtherCOMES
74-3117694OtherCOSUPERIOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scdobson@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20201014001713 CO Practitioner - Optometry 0648355388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Hour Optical Medical Services, PCGroup PAC ID 4880662485, 42 clinicians

Practice addresses (Care Compare)

1113 S Abilene CT
Suite 100
Aurora, CO 80012-4655
Phone (303) 755-9447

1685 S Co Blvd
Unit O
Denver, CO 80222-4011
Phone (303) 757-6747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-1023IDMDOptometrist
3469WAMDOptometrist
1995COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abba Eye Care PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients
Abba Eye Care PC Optometrist CurrentSince Apr 19, 2024 Accepting new patients

Locations

5640 S Parker Rd
Aurora, CO 80015
Phone (303) 369-2020

1130 Lake Plaza Dr
Ste 130
Colorado Springs, CO 80906
Phone (719) 578-2020

1685 S Colorado Blvd
Unit O
Denver, CO 80222
Phone (303) 757-6747

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1982799094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 E HAMPDEN AVE STE 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802315414",
            "telephone_number": "720-748-1800",
            "fax_number": "720-748-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 S ABILENE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123685",
            "telephone_number": "303-755-9447",
            "fax_number": "303-755-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-1023",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3469",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "220810",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY",
            "identifier": "226106",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49134",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "743117694",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "22826",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA VISION",
            "identifier": "23023",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MES",
            "identifier": "26127",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "74-3117694",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scdobson@hotmail.com",
            "affiliation": "N",
            "address_1": "1113 S Abilene Ct",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800123685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.