Individual provider Active NPI

Shoshana Cohen, O.D.

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1013948298
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1395 Issued in MD
Practice address
1838 Greene Tree Rd
Suite 225
Baltimore, MD 21208-6391
Phone
(410) 653-0200
Fax
(410) 653-3667
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1395 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd
Suite 225
Baltimore, MD 21208-6391

Mailing address

100 Park Ave
Baltimore, MD 21201-3416
Phone (410) 752-1677

Other identifiers 1

IdentifierTypeStateIssuer
613137OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110128000488 MD Practitioner - Optometry 6305025917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barenburg Optical Service, IncGroup PAC ID 4880582980, 12 clinicians

Practice addresses (Care Compare)

100 Park Ave
Baltimore, MD 21201-3416
Phone (410) 727-0285

1829 Reisterstown Rd
Suite 210
Baltimore, MD 21208-7105
Phone (410) 653-0200

8556 Fort Smallwood Rd
Suite a
Pasadena, MD 21122-2634
Phone (410) 437-4440

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barenburg Optical Service, Inc Optometrist CurrentSince May 8, 2001 Accepting new patients

Locations

100 Park Ave
Baltimore, MD 21201
Phone (410) 727-0285

1838 Greene Tree Rd
Ste 225
Pikesville, MD 21208
Phone (410) 653-0200

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1013948298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013416",
            "telephone_number": "410-752-1677",
            "fax_number": "410-752-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 225",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-653-0200",
            "fax_number": "410-653-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SHOSHANA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "613137",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.