Kevin Thomas Coolbaugh in Roanoke - Optometrist

Kevin Thomas Coolbaugh - NPI 1306842695

Kevin Thomas Coolbaugh is a Optometrist in Roanoke, Virginia. Kevin Thomas Coolbaugh practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kevin Thomas Coolbaugh is 1306842695. The last update date is 2010-02-02.

Kevin Thomas Coolbaugh's current location address is 1960 Electric Rd, Roanoke, Virginia. You can contact this provider via phone number 5407727171 and fax number 5407748299. The mailing address for Kevin Thomas Coolbaugh is 1960 Electric Rd, Roanoke, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Thomas Coolbaugh
Address 1960 Electric Rd, Roanoke, Virginia
Phone Number 5407727171
Fax Number 5407748299
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1306842695
Provider Enumeration Date 2005-06-22
Last Updated Date 2010-02-02

Provider Mailing Address Detail

Address 1960 Electric Rd
City Roanoke
State Virginia (VA)
Post Code 240181621
Phone Number 5407727171
Fax Number 5407748299

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 601002107
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9232800 VA --

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FAQs about Kevin Thomas Coolbaugh

What is the unique identifier code issued to Kevin Thomas Coolbaugh by the Centers for Medicare & Medicaid Services (CMS)?

The Kevin Thomas Coolbaugh has been assigned the NPI (National Provider Identifier) 1306842695. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Kevin Thomas Coolbaugh's facilities are geographically located?

The facilities of Kevin Thomas Coolbaugh are physically situated at the following location: 1960 Electric Rd, Roanoke, VA, 240181621.

What is the Kevin Thomas Coolbaugh's area of specialization and corresponding taxonomy classification?

The Kevin Thomas Coolbaugh's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

When was the Kevin Thomas Coolbaugh's 1306842695 issued?

The Kevin Thomas Coolbaugh's 1306842695 was issued on 2005-06-22.

As of what date were the Kevin Thomas Coolbaugh's details last updated?

The information pertaining to the Kevin Thomas Coolbaugh, including its address, specialty, and other details, was most recently updated on 2010-02-02.

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