Brian Gregory Coble, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1913 Issued in KS

Practice address

9501 State Ave Ste 2
Kansas City, KS 66111-1871

Phone

(913) 299-7200

Fax

(913) 334-4451

NPI assigned

Jul 31, 2012

Last updated

Jul 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coble Eye Associates,P.a.Group PAC ID 2961549878, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coble Eye Associates,P.a.

  • Optometrist
  • Kansas City, KS
  • NPI 1982802740
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1376899047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE STE 2",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111871",
            "telephone_number": "913-299-7200",
            "fax_number": "913-334-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE STE 2",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111871",
            "telephone_number": "913-299-7200",
            "fax_number": "913-334-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "BRIAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Dane Clutter, DO
• Sarah Clutter, M.D.
• Erin Coatney
• Madison Cobb, LMSW
• Coble Eye Associates,P.a.
• Mark G. Coble, OD
• Adriane Coburn, APRN
• Shirley Jean Cochran-Sandoval
• Jacqueline Cochran, DNP
• Reed Griffin Coda

• Optometrist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.