VINCENT H COBURN OD PC
NPI 1053682849
Optometrist in Dexter, MO

Active since January 25, 2012
812B N ONE MILE RD, DEXTER, MO 63841(573) 624-8829(573) 624-3636 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vincent H Coburn Od Pc NPPES

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

VINCENT H COBURN OD PC (NPI 1053682849) is a healthcare organization registered as an optometrist in Dexter, Missouri and active in the NPI registry since January 2012. The organization lists Vincent Coburn, Owner, as its authorized official.

NPPES Registry Identity

NPI1053682849
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameVINCENT H COBURN OD PC
Location Address812B N ONE MILE RDDexter, MO 63841-1034
Mailing Address812b N One Mile RdDexter, MO 63841-1034
Fax(573) 624-3636
Organization SubpartNo
Authorized OfficialVincent CoburnOwner · (573) 624-8829
Enumeration DateJanuary 25, 2012
Last NPPES UpdateFebruary 24, 2012
NPI 1053682849 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 · TO2520
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.
812B N ONE MILE RD, Dexter, MO 63841

Other Identifiers 2

Medicare UPINT-42677MO
Medicaid311660906MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Optometrist
812B N ONE MILE RD
DEXTER, MO 63841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent H Coburn Od PC's NPI number?

The NPI number for Vincent H Coburn Od PC is 1053682849. It was assigned to this organization in the NPPES registry on January 25, 2012.

Where is Vincent H Coburn Od PC located?

Vincent H Coburn Od PC is located at 812B N One Mile Rd, Dexter, MO 63841. The listed phone number is (573) 624-8829.

What is Vincent H Coburn Od PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vincent H Coburn Od PC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.