Organization Active NPI

Dr Donald B Cobb OD a Professional Corporation

  • Optometrist
  • Bartlesville, OK
National Provider Identifier
1801939996
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
747 Issued in OK
Legal business name
DR DONALD B COBB OD A PROFESSIONAL CORPORATION
Practice address
505 E 3Rd St
Bartlesville, OK 74003-3943
Phone
(918) 336-5046
Fax
(918) 336-5819
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Donald B Cobb, OD
Title
Physician Owner
Phone
(918) 336-5046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 747 OK Primary

Addresses

Primary practice location

505 E 3Rd St
Bartlesville, OK 74003-3943

Mailing address

505 E 3Rd St
Bartlesville, OK 74003-3943
Phone (918) 336-5046

Other identifiers 2

IdentifierTypeStateIssuer
100764780MedicaidOK
900522540OtherOKMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

505 E 3rd St
Bartlesville, OK 74003
Phone (918) 336-5046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1801939996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E 3RD ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033943",
            "telephone_number": "918-336-5046",
            "fax_number": "918-336-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E 3RD ST",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740033943",
            "telephone_number": "918-336-5046",
            "fax_number": "918-336-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DONALD B COBB OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "918-336-5046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764780",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "900522540",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.