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JOHN D. COBLE NPI 1851403877


NPI Information

NPI: 1851403877
Provider Name: JOHN D. COBLE

Doing Business As: EYECARE OF GREENVILLE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
4501 JOE RAMSEY BLVD E STE 110
GREENVILLE, TX
ZIP 75401
Phone: (903) 454-1886
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JOHN D. COBLE is a medical specialty clinic center in Greenville, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JOHN D. COBLE NPI is 1851403877. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Eyecare Of Greenville.

The provider's business location address is:

4501 JOE RAMSEY BLVD E STE 110
GREENVILLE, TX
ZIP 75401-838
Phone: (903) 454-1886
Fax: (903) 455-3055

The provider's authorized official is John D Coble .
The authorized official title is Owner and has the following contact phone number (903) 454-1886.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2261QM2500XClinic/CenterMedical Specialty3622TGTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13093296-01MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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