DR. KENT RANDALL WOLBER O.D.
NPI 1104883560
Optometrist in Hannibal, MO

Q: What is Kent Wolber's NPI number?

The NPI number for Kent Wolber is 1104883560. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Kent Wolber's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kent Wolber was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2006

175 SHINN LN, HANNIBAL, MO 63401(573) 406-5730(573) 406-1369 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kent Randall Wolber O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENT RANDALL WOLBER O.D. (NPI 1104883560) is an individual optometrist in Hannibal, Missouri, licensed in Missouri (T02786) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1104883560

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. KENT RANDALL WOLBERCredential: O.D.

Location Address175 SHINN LNHannibal, MO 63401-6754

Mailing Address1025 Maine StQuincy, IL 62301-4038 · (217) 222-6550

Phone(573) 406-5730

Fax(573) 406-1369

Sole ProprietorNo

Enumeration DateApril 28, 2006

Last NPPES UpdateApril 23, 2018

✔ NPI 1104883560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · T02786

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

175 SHINN LN, Hannibal, MO 63401

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Other Identifiers 1

Medicaid312852700MO

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ELIZABETH MARIE MONROE O.D.

Optometrist