Jerry Coburn, OD
NPI 1083681159 · Optometrist · Muskogee, OK
Jerry Coburn, OD is a Optometrist provider in Muskogee, OK (NPI 1083681159).
Provider details
- NPI number
- 1083681159
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 956 (OK)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-07
- Last updated
- 2010-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.