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Contact Information

AMY E COBURN, OD
HIGHLAND CLINIC, APMC
1400 E. BERT KOUNS, SUITE #103
SHREVEPORT, LA71105
 Phone: 318-222-8402
 Fax: 318-222-4556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AMY E COBURN · (Female)

NPI # 1871729277
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/01/2009
Last updated 12/11/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 1574-607T
  • AR Medicaid 185546722
  • LA Medicaid 1888982
Hospital affiliation(s) Not Available
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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