Organization Active NPI

DRS. Odom Coburn and Richardson

  • Optometrist
  • Eufaula, OK
National Provider Identifier
1124147541
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

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 V Odom Jr., OD
Title
Partner
Phone
(918) 682-7752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 NPIMap

These 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

SupplierSuppliesMedicare assignment
DRS Odom Coburn & Richardson PLLC403 S Main St, Eufaula, OK 74432-3251(918) 689-2677 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Oct 1, 2010

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.