Provider Demographics
NPI:1982799094
Name:DOBSON, SCOTT WILLIAM (OD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WILLIAM
Last Name:DOBSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 E HAMPDEN AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5414
Mailing Address - Country:US
Mailing Address - Phone:720-748-1800
Mailing Address - Fax:720-748-6040
Practice Address - Street 1:1113 S ABILENE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3685
Practice Address - Country:US
Practice Address - Phone:303-755-9447
Practice Address - Fax:303-755-2140
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDODP-1023152W00000X
WA3469152W00000X
CO1995152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO220810OtherEYEMED
CO226106OtherCLARITY
CO49134OtherDAVIS VISION
CO743117694OtherSUPERIOR VISION
CO22826OtherAVESIS
CO23023OtherSPECTERA VISION
CO26127OtherMES
CO74-3117694OtherSUPERIOR