Individual provider Active NPI

Jennifer Renee Coben, M.D.

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1639580798
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00142 Issued in NC
Practice address
8851 Ellstree LN Ste 200
Raleigh, NC 27617-2046
Phone
(919) 282-1100
Fax
(919) 282-1119
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 80059 GA
Ophthalmology Physician 207W00000X MD467062 PA
Ophthalmology Physician 207W00000X 00142 NC Primary

Addresses

Primary practice location

8851 Ellstree LN Ste 200
Raleigh, NC 27617-2046

Mailing address

PO Box 117636
Atlanta, GA 30368-7636
Phone (888) 856-1878

Other practice location 1

1365 Clifton Rd NE # B
Atlanta, GA 30322
Phone (404) 778-2020

Other practice location 2

1365 Clifton Rd NE # B
Atlanta, GA 30322
Phone (404) 778-2020

Other practice location 3

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, NC, VA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20190903001782 PA Practitioner - Ophthalmology 4688982515 Reassigns benefits to 1 organization
I20191001000374 NY Practitioner - Ophthalmology 4688982515 Reassigns benefits to 1 organization
I20250306000583 NC Practitioner - Ophthalmology 4688982515
I20251002002224 VA Practitioner - Ophthalmology 4688982515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vistar Eye Center, IncGroup PAC ID 0446249858, 29 clinicians

Practice addresses (Care Compare)

707 S Jefferson St
Roanoke, VA 24016-5100
Phone (540) 855-5100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80059GAMDOphthalmology Physician
00142NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vistar Eye Center, Inc CurrentSince Aug 15, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 21, 2019 Accepting new patients
Vistar Eye Center, Inc CurrentSince Aug 15, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Aug 21, 2019 Accepting new patients
Guthrie Medical Group, P.C. Ophthalmology CurrentSince Aug 21, 2019 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Center for Sight, PL Ophthalmology Current Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

2517 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 798-1452

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

707 S Jefferson St
Roanoke, VA 24016
Phone (540) 344-4000

426 W Main St
Salem, VA 24153
Phone (540) 344-4000

470 Lithia Rd
#1
Wytheville, VA 24382

Interoperability endpoints

  • Direct secure messaging: jcoben@useye.intellechartdirect.net
  • Direct secure messaging: jcoben145591@direct-guthrie.org
  • Direct secure messaging: jennifer.cobenmd.p1@direct.vistareyecenter.nextgenshare.com

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1639580798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117636",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687636",
            "telephone_number": "888-856-1878",
            "fax_number": "941-484-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 ELLSTREE LN STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276172046",
            "telephone_number": "919-282-1100",
            "fax_number": "919-282-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 Clifton Rd NE # B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30322",
            "country_code": "US",
            "telephone_number": "404-778-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1365 Clifton Rd NE # B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30322",
            "country_code": "US",
            "telephone_number": "404-778-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "18840",
            "country_code": "US",
            "telephone_number": "570-887-3241",
            "fax_number": "570-887-3236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBEN",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "80059",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD467062",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "00142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.