MR. JERRY K COBURN OD - NPI 1083681159 - Optometrist in Muskogee, OK

Q: What is Jerry Coburn's NPI number?

The NPI number for Jerry Coburn is 1083681159. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Jerry Coburn'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 Jerry Coburn was last updated on July 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Jerry K Coburn Od NPPES

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

MR. JERRY K COBURN OD (NPI 1083681159) is an individual optometrist in Muskogee, Oklahoma, licensed in Oklahoma (956) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1083681159

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. JERRY K COBURNCredential: OD

Location Address742 N YORK STMuskogee, OK 74403-3866

Mailing Address742 N York StMuskogee, OK 74403-3866 · (918) 682-7752 · Fax (918) 687-8440

Phone(918) 682-7752

Fax(918) 687-8440

Sole ProprietorNo

Enumeration DateMarch 7, 2006

Last NPPES UpdateJuly 8, 2010

✔ NPI 1083681159 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 OK · 956

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.

742 N YORK ST, Muskogee, OK 74403

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Other Identifiers 2

Medicare UPINT40399OK

Medicaid100766490AOK

Other Providers at the Same Location NPPES 6

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

DR. LORRIE A RICHARDSON OD

Optometrist