National Provider Identifier Database

KENT M DAUM, OD – NPI #1245246107
Optometrist

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.


Contact Information

KENT M DAUM, OD
251 N BAYOU ST
MOBILE, AL36603-5827
Phone: 251-690-8894
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KENT M DAUM

NPI Number 1245246107
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/31/2006
Last updated 05/28/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • AL License #: S-B49TA-200
  • AL License #: T73-TA-200
  • MA License #: 4903
  • AL Medicaid: 000059867
  • AL Medicaid: 630000013
  • LA Medicaid: 1586056
  • MS Medicaid: 00477761
  • AL Other: 51059952 BLUE CROSS BLUE SHIELD
  • AL Other: 51527365 BLUE CROSS BLUE SHIELD
  • AL Other: 011846 MEDICARE GROUP PAYEE NUMBER
  • AL Other: 410021238 MEDICARE RAILROAD
  • AL Other: 1063439065 NPI GROUP PAYEE NUMBER
  • AL Other: A1716 636005396 VISION SERVICE PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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