Active NPI
Jeffrey Michael Cohen, O.D.
- Optometrist
- Sherman Oaks, CA
National Provider Identifier
1104051630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14338
- Practice address
- 14006 Riverside Dr Ste 274
Sherman Oaks, CA 91423-1963 - Phone
- (818) 461-0595
- Fax
- (818) 461-0596
- NPI assigned
- May 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4435 | FL | |
| Optometrist | 152W00000X | 14338 | CA | Primary |
Addresses
Primary practice location
14006 Riverside Dr Ste 274
Sherman Oaks, CA 91423-1963
Mailing address
1555 Simi Town Center Way
Ste 575
Simi Valley, CA 93065-0535
Phone (818) 461-0595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1555 Simi Town Ctr Way
Suite 575
Simi Valley, CA 93065-0535
Phone (805) 577-0255
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4435 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Cohen, O.D., Inc. | Optometrist | Current | Accepting new patients |
Locations
1555 Simi Town Center Way
Ste 575
Simi Valley, CA 93065
Phone (805) 526-0279
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.
-
- Optometrist
- Simi Valley, CA
- NPI 1245735257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1104051630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 SIMI TOWN CENTER WAY",
"address_2": "STE 575",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930650535",
"telephone_number": "818-461-0595",
"fax_number": "818-461-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14006 RIVERSIDE DR STE 274",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914231963",
"telephone_number": "818-461-0595",
"fax_number": "818-461-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-28",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4435",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.