Brooke Coburn
Technician/Technologist, Optician in Geneseo, NY. Individual provider (NPI-1).
NPI number1962391276
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1962391276
- Entity type
- Individual (NPI-1)
- Name
- Brooke Coburn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2025
- Certification date
- Jun 27, 2025
- Last updated
- Jul 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 010265 | NY | Yes |
Practice location
48 E South St Ste 110Geneseo, NY 14454-1390
Phone 585-602-2130
Mailing address
48 E South St Ste 110Geneseo, NY 14454-1390
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Other Optician providers in Geneseo, NY
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