DR. KENT RANDALL WOLBER (O.D.) – Optometrist, NPI 1104883560

DR. KENT RANDALL WOLBER (O.D.) is a healthcare provider. based in Quincy, Illinois. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. T02786 (MO). The NPI Number for DR. KENT RANDALL WOLBER (O.D.) is 1104883560

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENT RANDALL WOLBER (O.D.)
NPI
1104883560
Phone
(217) 222-6550
Address
1025 MAINE ST
Enumeration Date
28 April 2006
Last Update Date
23 April 2018

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5732480008
Graduation Year
1984 (42 years ago)
PAC ID
6608964267
Group Practice PAC ID
0749192375
Professional Enrollment ID
I20071114000531
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KENT RANDALL WOLBER (O.D.)

  • 1025, Maine Street, Quincy, Adams County, Illinois, 62301, United States

    QUINCY, IL 623014038

    Phone: (217) 222-6550

    Type: Mailing

  • HQ Eyes, 175, Shinn Lane, Hannibal, Marion County, Missouri, 63401, United States

    HANNIBAL, MO 634016754

    Phone: (573) 406-5730

    Fax: (573) 406-1369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2023-07-26 • Largest payer in this snapshot: Genentech USA, Inc. ($72).

Total Amount

$129

General + Research + Ownership

Payments

2

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes200174$0
92014Established patient complete exam of visual system145137$0
92012Established patient problem focused exam of visual system6950$0
99214Established patient office or other outpatient visit, 30-39 minutes6867$0
92134Imaging of retina4946$0
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Insurance plans in this area (ZIP 62301)

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Provider's Procedures

DR. KENT RANDALL WOLBER (O.D.) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMO92083Measurement of field of vision during daylight conditions4740

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749192375View full group profile
NameSpecialtyState
-IL
Oral SurgeryIA
-MO
Nurse PractitionerIL
-IL
Mental Health CounselorIL
-IL
Family PracticeIL
Physician AssistantIL
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

How is DR. KENT RANDALL WOLBER (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KENT RANDALL WOLBER (O.D.) with NPI 1104883560.
Is DR. KENT RANDALL WOLBER (O.D.) still practicing?
DR. KENT RANDALL WOLBER (O.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. KENT RANDALL WOLBER (O.D.) hold?
Scheduling teams often label DR. KENT RANDALL WOLBER (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KENT RANDALL WOLBER (O.D.) on a map?
Expect Quincy, Illinois as a primary anchor for DR. KENT RANDALL WOLBER (O.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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