Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156F00000X | Technician/Technologist | ||
N | 156FC0800X | Contact Lens | ||
N | 156FC0801X | Contact Lens Fitter | ||
N | 156FX1100X | Ophthalmic | ||
N | 156FX1101X | Ophthalmic Assistant | ||
N | 156FX1201X | Optometric Assistant | ||
N | 156FX1202X | Optometric Technician | ||
Y | 156FX1800X | Optician |
NPI | 1649524638 |
---|---|
Provider Name | Buford Devin Coe |
First Address | Ocean Springs, MS 39567 |
Second Address | Mobile, AL 36608-5203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2012 |
Last Update Date | 30/10/2012 |