Active NPI
DRS Odom Coburn and Richardson PLLC
- Optometrist
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS ODOM COBURN AND RICHARDSON PLLC
- Practice address
- 742 N York St
Muskogee, OK 74403-3866 - Phone
- (186) 827-7529
- NPI assigned
- Dec 28, 2010
- Last updated
- Oct 9, 2024
- 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
- James Coburn, OD
- Title
- Partner
- Phone
- (918) 682-7752
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930093410 | OK | DME Supplier - Physician - Optometrist | 6709077803 | Practice locations: Eufaula, OK |
| O20101014000607 | OK | Part B Supplier - Clinic/Group Practice | 6709077803 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eufaula, OK; Muskogee, OK |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- DRS Odom Coburn Richardson
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Muskogee, OK
- NPI 1710293311
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.
-
- 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": "1293494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1285938621",
"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"
},
{
"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": "186-827-7529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS ODOM COBURN AND RICHARDSON PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-28",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "COBURN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "918-682-7752",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"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 Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.