IndividualActive
Amy Coburn, O.D.
NPI 1871729277 · Optometrist · Shreveport, LA
Provider details
- NPI number
- 1871729277
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 1574-607T (LA)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
Highland Clinic, Apmc
1400 E. Bert Kouns, Suite #103
Shreveport, LA 71105
Phone: (318) 222-8402
Fax: (318) 222-4556
Approximate (ZIP-level) locationGet directions
Mailing address
Highland Clinic, Apmc
Shreveport, LA 71105
Registry dates
- Enumerated
- 2009-06-01
- Last updated
- 2020-12-11
- Certified
- 2020-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.