GLENN ALLEN COFFIN (NPI# 1053892943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053892943 |
| Entity Type | Individual |
| Full Name | GLENN ALLEN COFFIN |
| Credential | OD |
| Practice Address |
2421 Vestal Pkwy E Ste 5 Vestal NY 13850-2066 |
| Mailing Address |
1100 Amberdale Dr Chesapeake VA 23322-7784 |
| Practice Telephone | 6072175169 |
| Mailing Telephone | 7578801615 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 0618002731 | VA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | T008877 | NY | Eye and Vision Services Providers |
| Street Address |
2421 VESTAL PKWY E STE 5 |
| City | VESTAL |
| State | NY |
| Zip Code | 13850-2066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881116994 | Kulvir Singh Kainth | Optometrist | 2421 Vestal Pkwy E Ste 5, Vestal, NY 13850-2066 | 2017-07-10 |
| 1861008187 | Kazvin Vispy Engineer | Optometrist | 2421 Vestal Pkwy E Ste 5, Vestal, NY 13850-2066 | 2020-09-22 |
| 1518577147 | Priya Bhuva | Optometrist | 2421 Vestal Pkwy E Ste 5, Vestal, NY 13850-2066 | 2020-08-07 |
| 1508344110 | Bhavithra Umapathisivam | Optometrist | 2421 Vestal Pkwy E Ste 5, Vestal, NY 13850-2066 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018800 | Debbie Sue Maerz | Registered Nurse | Vestal Hills Elementary School, 709 Country Club Road, Vestal, NY 13850 | 2019-11-22 |
| 1770144511 | Janice Cecilia Forsberg | Registered Nurse | Clayton Avenue Elementary School, 209 Clayton Avenue, Vestal, NY 13850 | 2019-06-24 |
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1720503725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3701 Vestal Pkwy E Ste 4, Vestal, NY 13850 | 2017-08-10 |
| 1013368554 | Ying Fang Zhao | Nurse Practitioner | 404 Apine Drive, Vestal, NY 13850 | 2016-06-27 |
| 1689086308 | Jeff Farinella | Physical Therapist | 1715 Castle Gardes Road, Vestal, NY 13850 | 2014-05-29 |
| 1548689722 | Hamad Saleemi | Physical Medicine & Rehabilitation | 4433 Vestal Pkwy E Fl 1, Vestal, NY 13850 | 2014-04-15 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1316221393 | Sharyn Marie Fine | Occupational Therapist | 337 Jones Road, Vestal, NY 13850 | 2011-10-07 |
| 1144504218 | Catherine Ann Willis | Speech-Language Pathologist | 709 Country Club Rd, Vestal, NY 13850 | 2011-10-06 |
| Find all providers in zip 13850 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922514447 | Christopher Lopez | Optometrist | 132 S Jensen Rd, Vestal, NY 13850 | 2017-12-20 |
| 1104349935 | Zachary Kyle Bird | Optometrist | 2421 Vestal Pkwy E # 5, Vestal, NY 13850-2066 | 2017-07-24 |
| 1881116994 | Kulvir Singh Kainth | Optometrist | 2421 Vestal Pkwy E Ste 5, Vestal, NY 13850-2066 | 2017-07-10 |
| 1518230325 | Sahar F Mahmoud | Optometrist | 3900 Vestal Parkway East, Vestal, NY 13850 | 2012-02-10 |
| 1598072043 | Kendall Craig Willden | Optometrist | 3455 Vestal Parway East, Vestal, NY 13850 | 2010-09-04 |
| 1295797447 | Heather Marie Beierle | Optometrist | 3900 Vestal Pky E, Empire Vision Centers, Vestal, NY 13850 | 2006-04-04 |
| 1851352892 | Empire Vision Center Inc | Optometrist | 3900 Vestal Pkwy E, Vestal, NY 13850-2300 | 2006-03-29 |
| 1588638597 | Andrew James Sacco | Optometrist | 400 Plaza Dr, Suite B, Vestal, NY 13850-3649 | 2006-02-15 |
| 1831194653 | Shannon C. Toomey-belanger | Optometrist | 3455 Vestal Pkwy E, Vestal, NY 13850-2147 | 2005-06-17 |
| 1194728188 | Ronald Austin Meeker | Optometrist | 157 Front St, Vestal, NY 13850-1511 | 2005-05-24 |
| Find all providers in VESTAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.