National Provider Identifier Database

GARY T COBURN, OD – NPI #1184771834
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

GARY T COBURN, OD
725 N LINCOLN ROAD
ROCKVILLE, IN47872
Phone: 765-569-2008
Fax: 765-569-2009
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for GARY T COBURN

NPI Number 1184771834
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/04/2007
Last updated 03/20/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 18001654
  • IN Medicaid: 200954600
  • IN Other: 000000264646 ANTHEM
  • IN Other: 000000264522 ANTHEM PIN
  • IN Other: 410046751 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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