Active NPI
Brooke Coburn
- Optician
- Geneseo, NY
National Provider Identifier
1962391276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 010265
- Practice address
- 48 E South St Ste 110
Geneseo, NY 14454-1390 - Phone
- (585) 602-2130
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 010265 | NY | Primary |
Addresses
Primary practice location
48 E South St Ste 110
Geneseo, NY 14454-1390
Mailing address
48 E South St Ste 110
Geneseo, NY 14454-1390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010265 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Optical Shop | Optician | Current | Accepting new patients |
Locations
48 E South St
Ste 110
Geneseo, NY 14454
Phone (585) 602-2130
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1962391276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 E SOUTH ST STE 110",
"city": "GENESEO",
"state": "NY",
"postal_code": "144541390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 E SOUTH ST STE 110",
"city": "GENESEO",
"state": "NY",
"postal_code": "144541390",
"telephone_number": "585-602-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBURN",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "010265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneseo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.