Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kevin Thomas Coolbaugh, OD

Individual provider Optometrist · NPI 1306842695

Dr. Kevin Thomas Coolbaugh, OD is an Optometry in Roanoke, Virginia. Graduated from University of Houston - College of Optometry in 1993, 33 years ago. Practices with Eye Care and Surgery PC, an 8-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
33
Trained at
University of Houston - College of Optometry
Licensed in
VA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1960 Electric Rd
Roanoke, VA 24018-1621
Phone: (540) 772-7171
Fax: (540) 774-8299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0601002107 (VA)

Record details

NPI number1306842695
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESFebruary 2, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Graduated 1993 (33 years in practice)
Group practice Eye Care And Surgery Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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