Vincent H Coburn Od PC
Vincent H Coburn Od PC is a healthcare organization registered as Optometrist in Dexter, MO, holding Type 2 (organization) NPI 1053682849 since 2012. The authorized official on file is Vincent Coburn, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053682849 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Vincent H Coburn Od PC |
| Practice address | 812B N ONE MILE RD, Dexter, MO, 63841 |
| Phone | 5736248829 |
| Fax | 5736243636 |
| Enumeration date | 2012-01-25 |
| Last updated in NPPES | 2012-02-24 |
Authorized official
| Name | Vincent Coburn |
|---|---|
| Title | Owner |
| Phone | 5736248829 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | TO2520 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311660906 | Medicaid | MO | — |
Copy-ready billing details
Provider: Vincent H Coburn Od PC NPI: 1053682849 Taxonomy: 152W00000X (Optometrist) Address: 812B N ONE MILE RD, Dexter, MO, 63841
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437286747 | Vincent Coburn | Individual | Optometrist | Dexter, MO |
Verify this record
Cross-check NPI 1053682849 against the authoritative CMS record: view Vincent H Coburn Od PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Vincent H Coburn Od PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-02-24.