James Alexander Coburn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3117 Issued in OK

Practice address

742 N York St
Muskogee, OK 74403-3866

Phone

(918) 682-7752

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Odom Coburn and Richardson PLLCGroup PAC ID 6709077803, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

15.83 of 100Reported as individual

Quality

31.67

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• DRS Odom Coburn and Richardson PLLC

  • Optometrist
  • Muskogee, OK
  • NPI 1710293311
  Medicare reassignment Care Compare group NPD
• DRS Odom Coburn and Richardson PLLC

  • Optometrist
  • Muskogee, OK
  • NPI 1285938621
  NPD Authorized official
• DRS. Odom Coburn and Richardson

  • Optometrist
  • Eufaula, OK
  • NPI 1124147541
  NPD (past)

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1649943408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033866",
            "telephone_number": "918-682-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033866",
            "telephone_number": "918-682-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "JAMES",
        "middle_name": "ALEXANDER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "No endpoint used in office",
            "address_1": "742 N York St",
            "city": "Muskogee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744033866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebekah Coats, PHARM. D.
• Lauran Janelle Cobb, PHARM.D.
• Terri Cobb, BHRS
• Barbara Annette Coble, A.A., BHA
• Erika Renea Cobler, PTA
• Jerry K Coburn, OD
• Rhonda Yvonne Cochran
• Jeffery Coe
• Kristin S Coffman, ARNP
• Christy Janet Coggins, PTA

• Optometrist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.