Organization Active NPI

Sidney Cohen OD LTD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1033363288
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000538 Issued in PA
Legal business name
SIDNEY COHEN OD LTD
Practice address
1900 E Carson St
Pittsburgh, PA 15203-1836
Phone
(412) 431-5300
Fax
(412) 431-5315
NPI assigned
Nov 13, 2008
Last updated
Oct 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. Barry Cohen, ODNPI 1013986181
Title
Owner
Phone
(412) 431-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000538 PA Primary
Eyewear Supplier 332H00000X OEG000538 PA

Addresses

Primary practice location

1900 E Carson St
Pittsburgh, PA 15203-1836

Mailing address

1900 E Carson St
Pittsburgh, PA 15203-1836
Phone (412) 431-5300

Other identifiers 1

IdentifierTypeStateIssuer
1013986181OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161219000314 PA Part B Supplier - Clinic/Group Practice 7012297682 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1900 E Carson St
Pittsburgh, PA 15203
Phone (412) 431-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1033363288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031836",
            "telephone_number": "412-431-5300",
            "fax_number": "412-431-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152031836",
            "telephone_number": "412-431-5300",
            "fax_number": "412-431-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY COHEN OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-431-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000538",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG000538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1013986181",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.