National Provider Identifier
Brooke Coburn
Brooke Coburn is listed in the NPPES registry with a primary specialty of Optician in Geneseo, NY and a listed phone number of (585) 602-2130.
Profile Overview
- NPI
- 1962391276
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- July 01, 2025
- Last Updated
- July 01, 2025
Practice Location
- 48 E South St Ste 110
- Geneseo, NY 14454-1390
Phone: (585) 602-2130
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1962391276
- Entity Type
- Individual
- Last Name
- Coburn
- First Name
- Brooke
- Mailing Street Address
- 48 E South St Ste 110
- Mailing City
- Geneseo
- Mailing State
- NY
- Mailing ZIP Code
- 14454-1390
- Mailing Country
- US
- Practice Street Address
- 48 E South St Ste 110
- Practice City
- Geneseo
- Practice State
- NY
- Practice ZIP Code
- 14454-1390
- Practice Country
- US
- Practice Phone
- (585) 602-2130
- Enumeration Date
- July 01, 2025
- Last Updated
- July 01, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 27, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)