Organization Active NPI

James D Coffey O D P C

  • Optometrist
  • Clinton, OK
National Provider Identifier
1619936911
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2061 Issued in OK
Legal business name
JAMES D COFFEY O D P C
Practice address
817 Avant Ave
Suite 2
Clinton, OK 73601-3957
Phone
(580) 323-1515
Fax
(580) 323-2521
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. James Doyle Coffey, O.D.
Title
President
Phone
(580) 323-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2061 OK Primary

Addresses

Primary practice location

817 Avant Ave
Suite 2
Clinton, OK 73601-3957

Mailing address

817 Avant Ave
Suite 2
Clinton, OK 73601-3957
Phone (580) 323-1515

National Provider Directory

National Provider Directory

Locations

817 Avant Ave
Ste 2
Clinton, OK 73601
Phone (580) 323-1515

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1619936911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 AVANT AVE",
            "address_2": "SUITE 2",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013957",
            "telephone_number": "580-323-1515",
            "fax_number": "580-323-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 AVANT AVE",
            "address_2": "SUITE 2",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013957",
            "telephone_number": "580-323-1515",
            "fax_number": "580-323-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D COFFEY O D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-323-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.