DR. KEVIN THOMAS COOLBAUGH (NPI# 1306842695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306842695 |
| Entity Type | Individual |
| Full Name | DR. KEVIN THOMAS COOLBAUGH |
| Credential | OD |
| Practice Address |
1960 Electric Rd Roanoke VA 24018-1621 |
| Practice Telephone | 5407727171 |
| Practice Fax Number | 5407748299 |
| Mailing Telephone | 5407727171 |
| Mailing Fax Number | 5407748299 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2010-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0601002107 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 9232800 | 05 |
| Street Address |
1960 ELECTRIC RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780909291 | Patrick D Bradley | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2010-03-29 |
| 1609038538 | Kari Harner Boothe | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2008-07-01 |
| 1801063664 | Christopher M Clark | Technician/Technologist | 1960 Electric Rd, Roanoke, VA 24018-1601 | 2008-05-12 |
| 1760533608 | Eugene H Eng | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2007-01-16 |
| 1639192594 | Blue Ridge Optical | Eyewear Supplier (Equipment, not the service) | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2006-07-25 |
| 1962400168 | Eye Care & Surgery PC | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-12 |
| 1508864109 | Carey William Robinson | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-08 |
| 1720085608 | Lee Thomas Helms | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-07-07 |
| 1023015476 | William Mckinley Thompson | Ophthalmology | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-30 |
| 1649277229 | Shari L Coolbaugh | Optometrist | 1960 Electric Rd, Roanoke, VA 24018-1621 | 2005-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| 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 |
|---|---|---|---|---|
| 1467931246 | Kathryn Rosa Johnson | Optometrist | 3763 Franklin Rd Sw, Roanoke, VA 24014-2261 | 2018-08-12 |
| 1275032609 | Kelsey L. Gray | Optometrist | 2726 Electric Rd Ste 104, Roanoke, VA 24018-3528 | 2018-02-12 |
| 1740722669 | Humaira Hassan | Optometrist | 1104 N Highway 377 Ste 200, Roanoke, TX 76262-9124 | 2016-11-09 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1629464037 | Star City Eye Care | Optometrist | 4822 Valley View Blvd Nw, Ste C, Roanoke, VA 24012-2025 | 2015-04-13 |
| 1194157248 | Cassandra Noel Benedick | Optometrist | 100 Country View Dr Ste 100, Roanoke, TX 76262-2055 | 2013-07-31 |
| 1427329499 | Roanoke Vision Associates, PC | Optometrist | 4524 Challenger Ave, Suite A, Roanoke, VA 24012-7028 | 2012-01-23 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| 1588894950 | Ami Nadolsky | Optometrist | 4822c Valley View Blvd, Roanoke, VA 24012 | 2009-07-20 |
| 1164674289 | Karl C. Saliba, O.d., PC | Optometrist | 2222 Electric Road, S.w., Suite 201, Roanoke, VA 24018-2300 | 2008-10-21 |
| Find all providers in ROANOKE | ||||
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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.