Michael Andrew Coffman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2508T Issued in OR

Practice address

61535 S Hwy 97
Ste 13
Bend, OR 97702

Phone

(541) 389-4774

Fax

(541) 389-3971

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Aeg Oregon Professional LLCGroup PAC ID 5092156364, 11 clinicians

Coffman Vision Clinic IncGroup PAC ID 8123012903, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coffman Vision Clinic Inc

  • Optometrist
  • Bend, OR
  • NPI 1811064967
  Medicare reassignment Care Compare group NPD Authorized official
• Aeg Oregon Professional LLC

  • Optometrist
  • Salem, OR
  • NPI 1679253397
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982799789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61535 S HWY 97",
            "address_2": "STE 13",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-4774",
            "fax_number": "541-389-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61535 S HWY 97",
            "address_2": "STE 13",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-4774",
            "fax_number": "541-389-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2508T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Padgett Coehlo, PHD, C-PNP, PMHS
• Thomas Eugene Coehlo, RN, MSN, FNP-C
• Zachary L Coelho, PSS, CRM
• Teresa Renee Coffey, CADC II
• Coffman Vision Clinic Inc
• Kathryn Coghlan
• Michelle Cohen, M.D.
• Richard Howard Cohen, M.D.
• Tracey Lynn Colacicco, M.S.
• Emily Joanne Colburn, BS, QMHA

• Optometrist in Bend, OR
• Providers in Bend, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.