NPIMap

Organization Active NPI

DRS. Odom Coburn and Richardson

  • Optometrist
  • Muskogee, OK
National Provider Identifier
1083787535
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
823 Issued in OK
Legal business name
DRS. ODOM COBURN AND RICHARDSON
Practice address
742 N York St
Muskogee, OK 74403-3866
Phone
(918) 682-7752
Fax
(918) 687-8440
NPI assigned
Nov 15, 2006
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ray OdomNPI 1396713178
Title
O.D.
Phone
(918) 682-7752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 823 OK Primary

Addresses

Primary practice location

742 N York St
Muskogee, OK 74403-3866

Mailing address

742 N York St
Muskogee, OK 74403-3866
Phone (918) 682-7752

National Provider Directory

National Provider Directory

Locations

742 N York St
Muskogee, OK 74403
Phone (918) 682-7752

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1083787535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033866",
            "telephone_number": "918-682-7752",
            "fax_number": "918-687-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033866",
            "telephone_number": "918-682-7752",
            "fax_number": "918-687-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ODOM COBURN AND RICHARDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "918-682-7752",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.