Active NPI
Steven W. Coburn, O.D., P.a.
- Optometrist
- Denton, TX
National Provider Identifier
1457403552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2596TG
- Legal business name
- STEVEN W. COBURN, O.D., P.A.
- Practice address
- 3327 Colorado Blvd
Suite 300
Denton, TX 76210-6865 - Phone
- (940) 566-3413
- Fax
- (940) 381-1828
- NPI assigned
- Jan 17, 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. Steven W. Coburn, O.D.
- Title
- President
- Phone
- (940) 566-3413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2596TG | TX | Primary |
Addresses
Primary practice location
3327 Colorado Blvd
Suite 300
Denton, TX 76210-6865
Mailing address
3327 Colorado Blvd
Suite 300
Denton, TX 76210
Phone (940) 566-3413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0077FE | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3327 Colorado Blvd
Ste 300
Denton, TX 76210
Phone (940) 566-3413
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Plano, TX
- NPI 1619205135
-
- Optometrist
- Denton, TX
- NPI 1437388287
-
- Optometrist
- Denton, TX
- NPI 1801011218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204243200000",
"number": "1457403552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3327 COLORADO BLVD",
"address_2": "SUITE 300",
"city": "DENTON",
"state": "TX",
"postal_code": "76210",
"telephone_number": "940-566-3413",
"fax_number": "940-381-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 COLORADO BLVD",
"address_2": "SUITE 300",
"city": "DENTON",
"state": "TX",
"postal_code": "762106865",
"telephone_number": "940-566-3413",
"fax_number": "940-381-1828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN W. COBURN, O.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2008-02-29",
"status": "A",
"authorized_official_last_name": "COBURN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "940-566-3413",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "2596TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0077FE",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.