Active NPI
Jamie Cohen, O.D., Inc
- Optometrist
- Westlake Village, CA
National Provider Identifier
1073920443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14243
- Legal business name
- JAMIE COHEN, O.D., INC
- Practice address
- 30740 Russell Ranch Rd
Westlake Village, CA 91362-6399 - Phone
- (818) 889-8200
- NPI assigned
- Jul 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jamie Cohen
- Title
- Optometrist/President
- Phone
- (818) 889-8200
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14243 | CA | Primary |
Addresses
Primary practice location
30740 Russell Ranch Rd
Westlake Village, CA 91362-6399
Mailing address
2731 Licia PL
Simi Valley, CA 93065-1544
Phone (818) 889-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FR450A | Other | CA | MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Westlake Village, CA
- NPI 1588952386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1073920443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 LICIA PL",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651544",
"telephone_number": "818-889-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30740 RUSSELL RANCH RD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913626399",
"telephone_number": "818-889-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMIE COHEN, O.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
"authorized_official_telephone_number": "818-889-8200",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "14243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "FR450A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.