EYECARE OF GREENVILLE – NPI #1851403877
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

EYECARE OF GREENVILLE is an AHC clinic located in GREENVILLE, TX. NPPES has assigned the NPI number 1851403877 to EYECARE OF GREENVILLE on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EYECARE OF GREENVILLE” is a dba name, the actual legal business name for this organization is JOHN D. COBLE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 4 years ago on Sep 09, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EYECARE OF GREENVILLE below.

NPI Profile for
JOHN D. COBLE

NPI Number
1851403877
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHN D. COBLE
Doing Business As (dba): EYECARE OF GREENVILLE
Primary location
4501 JOE RAMSEY BLVD E STE 110
GREENVILLE, TX 75401-7838
Phone: (903) 454-1886 Fax: (903) 455-3055
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN COBLE
OWNER
Phone: (903) 454-1886
Updated
Certification Date
Sep 09, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EYECARE OF GREENVILLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX3093296-01
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
TX 3622TG
152W00000X
- Optometrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.