Active NPI
DRS. Odom Coburn and Richardson
- Optometrist
- Eufaula, OK
National Provider Identifier
1124147541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS. ODOM COBURN AND RICHARDSON
- Practice address
- 403 S Main St
Eufaula, OK 74432-3251 - Phone
- (918) 689-2677
- Fax
- (918) 689-2901
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ray V Odom Jr., OD
- Title
- Partner
- Phone
- (918) 682-7752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
403 S Main St
Eufaula, OK 74432-3251
Mailing address
403 S Main St
Eufaula, OK 74432-3251
Phone (918) 689-2677
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| DRS Odom Coburn & Richardson PLLC | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
403 S Main St
Eufaula, OK 74432
Phone (918) 682-7752
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.
-
- Optometrist
- Muskogee, OK
- NPI 1649943408
-
- Optometrist
- Muskogee, OK
- NPI 1003884875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1124147541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S MAIN ST",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323251",
"telephone_number": "918-689-2677",
"fax_number": "918-689-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S MAIN ST",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744323251",
"telephone_number": "918-689-2677",
"fax_number": "918-689-2901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. ODOM COBURN AND RICHARDSON",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "ODOM",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "918-682-7752",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.