Steven W Coburn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2596TG Issued in TX

Practice address

3327 Colorado Blvd
Suite 300
Denton, TX 76210-6865

Phone

(940) 566-3413

Fax

(940) 381-1828

NPI assigned

Jan 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1780736876",
    "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": "762106865",
            "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": {
        "last_name": "COBURN",
        "first_name": "STEVEN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2596TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "81140Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi J Clokey, FNP-C
• Clover Systems LLC
• Christen Elizabeth Clower, PH.D
• Nicholas Edward Cobb, D.D.S.
• Victor L Cobos, M.D.
• Katy Irene Cochran, FNP
• Lois Ann Cockerell
• Code 3 Emergency Partners at Denton, LLC
• Linda Jan Coffey Leal, LBSW, C-SWCM
• Jesse Allen Coffey Jr., M.D.

• Optometrist in Denton, TX
• Providers in Denton, TX by specialty
• Optometrist in Texas

• 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.