Individual provider Active NPI

Barbara Suzanne Cohn, O.D.

  • Optometrist
  • Crow Agency, MT
National Provider Identifier
1003918384
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-OPT-LIC-1938 Issued in MT
Practice address
1000 Hospital Road
Crow Indian Health Service- Optometry
Crow Agency, MT 59022
Phone
(406) 638-3313
Fax
(406) 638-3341
NPI assigned
Sep 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-OPT-LIC-1938 MT Primary

Addresses

Primary practice location

1000 Hospital Road
Crow Indian Health Service- Optometry
Crow Agency, MT 59022

Mailing address

PO Box 9
Crow Agency, MT 59022-0009
Phone (406) 638-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000529 TX Practitioner - Optometry 9335246438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

10110 S 7650
Crow Agency, MT 59022-0009
Phone (406) 638-4616

Hospital & facility affiliations

  • P H S Indian Hospital Crow / Northern Cheyenne Hospital, Crow Agency, MT, CCN 271339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-OPT-LIC-1938MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
US Health Dept of Health & Human Services CurrentSince Mar 28, 2015 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 4, 2016 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Mar 28, 2015 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 4, 2016 Accepting new patients

Locations

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1003918384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "590220009",
            "telephone_number": "406-638-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOSPITAL ROAD",
            "address_2": "CROW INDIAN HEALTH SERVICE- OPTOMETRY",
            "city": "CROW AGENCY",
            "state": "MT",
            "postal_code": "59022",
            "telephone_number": "406-638-3313",
            "fax_number": "406-638-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "BARBARA",
        "middle_name": "SUZANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crow Agency, MT

Sources for this page

Verify at the official NPI Registry.