National Provider Identifier

Christopher J Colburn, O.D.

Christopher J Colburn, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Jamestown, NY and a listed phone number of (716) 664-7601.

NPI 1649269861Jamestown, NYOptometrist

Profile Overview

NPI
1649269861
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
October 20, 2005
Last Updated
April 20, 2016

Practice Location

  • 555 Fairmount Ave
  • Jamestown, NY 14701-2750

Phone: (716) 664-7601

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1649269861
Entity Type
Individual
Last Name
Colburn
First Name
Christopher
Middle Name
J
Name Prefix
Dr.
Credential
O.D.
Mailing Street Address
555 Fairmount Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2750
Mailing Country
US
Mailing Phone
(716) 763-9407
Practice Street Address
555 Fairmount Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2750
Practice Country
US
Practice Phone
(716) 664-7601
Practice Fax
(716) 664-3353
Enumeration Date
October 20, 2005
Last Updated
April 20, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
00025947901 (NY, Univera Healthcare), 5525360 (NY, Aetna US Healthcare), 003901851 (NY, Blue Cross Of Wny)