MR. GREGORY LYNN COBURN OD
NPI 1790704849
Optometrist in Columbus, OH

Active since July 19, 2006
4864 W BROAD STREET, COLUMBUS, OH 43228(614) 878-7771(614) 878-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Gregory Lynn Coburn Od NPPES

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

MR. GREGORY LYNN COBURN OD (NPI 1790704849) is an individual optometrist in Columbus, Ohio, licensed in Ohio (3597) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790704849
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. GREGORY LYNN COBURNCredential: OD
Location Address4864 W BROAD STREETColumbus, OH 43228-1602
Mailing Address81 E Gay StreetColumbus, OH 43215-3103 · (614) 224-2414 · Fax (614) 224-5916
Fax(614) 878-4000
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1790704849 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 OH · 3597
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.
4864 W BROAD STREET, Columbus, OH 43228

Other Identifiers 3

Medicare UPINU31287
Medicare ID-Type UnspecifiedCO0714344OH
Medicaid0727057OH

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 Gregory Coburn's NPI number?

The NPI number for Gregory Coburn is 1790704849. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Gregory Coburn located?

Gregory Coburn practices at 4864 W Broad Street, Columbus, OH 43228. The listed phone number is (614) 878-7771.

What is Gregory Coburn'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 Gregory Coburn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.