Provider Demographics
NPI:1740367515
Name:DOBBINS, KENT E (OD)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:E
Last Name:DOBBINS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:R
Other - Last Name:POHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:831 VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2665
Mailing Address - Country:US
Mailing Address - Phone:785-843-5665
Mailing Address - Fax:785-841-3153
Practice Address - Street 1:831 VERMONT ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2665
Practice Address - Country:US
Practice Address - Phone:785-843-5665
Practice Address - Fax:785-841-3153
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1081-2152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist