Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jerry K Coburn, OD

Individual provider Optometrist · NPI 1083681159

Mr. Jerry K Coburn, OD is an Optometrist in Muskogee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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

742 N York St
Muskogee, OK 74403-3866
Phone: (918) 682-7752
Fax: (918) 687-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 956 (OK)

Record details

NPI number1083681159
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESJuly 8, 2010

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