| Dr Gary T Coburn, OD | |
|
725 N Lincoln Road, Rockville, IN 47872 | |
| (765) 569-2008 | |
| (765) 569-2009 |
| Full Name | Dr Gary T Coburn |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 725 N Lincoln Road, Rockville, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184771834 | NPI | - | NPPES |
| 000000264646 | Other | IN | ANTHEM |
| 200954600 | Medicaid | IN | |
| 410046751 | Other | IN | RAILROAD MEDICARE |
| 000000264522 | Other | IN | ANTHEM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18001654 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary T Coburn, OD Po Box 278, Rockville, IN 47872-0278 Ph: (765) 569-2008 | Dr Gary T Coburn, OD 725 N Lincoln Road, Rockville, IN 47872 Ph: (765) 569-2008 |
Parke Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 725 N Lincoln Rd, Rockville, IN 47872 Phone: 765-569-2008 Fax: 765-569-2009 | |
Valerie Lyn Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 N. Lincoln Rd, Rockville, IN 47872 Phone: 765-569-2008 Fax: 765-569-2009 |