Mr Jerry K Coburn, OD in Muskogee, OK - Optometrist

Mr Jerry K Coburn, OD is a Optometrist based in Muskogee, Oklahoma. Mr Jerry K Coburn is licensed to practice in Oklahoma (license number 956) and his current practice location is 742 N York St, Muskogee, Oklahoma. He can be reached at his office (for appointments etc.) via phone at (918) 682-7752.

NPI number for Mr Jerry K Coburn is 1083681159 and his current mailing address is 742 N York St, Muskogee, Oklahoma. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083681159.

Contact Information

	Mr Jerry K Coburn, OD
	742 N York St, Muskogee, OK 74403-3866
	(918) 682-7752
	(918) 687-8440

Healthcare Provider's Profile

Full Name	Mr Jerry K Coburn
Gender	Male
Speciality	Optometrist
Location	742 N York St, Muskogee, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083681159
Provider Enumeration Date: 03/07/2006
Last Update Date: 07/08/2010

Medical Identifiers

Medical identifiers for Mr Jerry K Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083681159	NPI	-	NPPES
100766490A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	956 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry K Coburn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jerry K Coburn, OD 742 N York St, Muskogee, OK 74403-3866 Ph: (918) 682-7752	Mr Jerry K Coburn, OD 742 N York St, Muskogee, OK 74403-3866 Ph: (918) 682-7752

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Optometrist in Muskogee, OK

Dr. Lorrie A Richardson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 742 N York St, Muskogee, OK 74403 Phone: 918-682-7752 Fax: 918-687-8440
Dr. Karla Louise Rice, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Chandler Rd, Muskogee, OK 74403 Phone: 918-682-2181 Fax: 918-686-7988
Dr. Joni S Couch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3131 Military Blvd, Muskogee, OK 74401 Phone: 918-687-6600 Fax: 918-687-6610
Drs. Odom Coburn And Richardson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 742 N York St, Muskogee, OK 74403 Phone: 918-682-7752 Fax: 918-687-8440
Dr. Penny B Smythe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1157 N York St, Muskogee, OK 74403 Phone: 918-683-8404 Fax: 918-687-4469
Dr. Richard Dan Creed, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3705 W Broadway St, Muskogee, OK 74401 Phone: 918-687-7530 Fax: 918-687-4019

Mr Jerry K Coburn, OD - Optometrist in Muskogee, OK