Rebecca J Colburn

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REBECCA J COLBURN

Practice address

5859 28TH St SE
Grand Rapids, MI 49546-6905

Phone

(616) 949-5125

Fax

(616) 949-5843

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca J Colburn, ODNPI 1558464537

Title

Owner

Phone

(616) 724-7641

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca J Colburn, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1558464537
  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1407548548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 JORDAN RIVER DR SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493029189",
            "telephone_number": "616-724-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466905",
            "telephone_number": "616-949-5125",
            "fax_number": "616-949-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA J COLBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-724-7641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Reams, PT, DPT
• Nicole Michelle Reau, CTRS
• Evan Alexander Reaume, PA-C
• Tiffany D Rebandt, ANP
• Breanna Alysse Rebe, OTD, OTR/L
• Rebecca Nelson LLC
• Alan Ira Rebenstock, M.D.
• Gina Elizabeth Rebesco, MD
• Benjamin Parr Rechner, MD
• Stephen F Rechner, MD

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.