Individual provider Active NPI

Lawrence Sumner Cohen, O.D.

  • Optometrist
  • Lincoln, RI
National Provider Identifier
1174576987
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CODTG00688 Issued in RI
Practice address
620 George Washington Hwy
Target Optical
Lincoln, RI 02864-4293
Phone
(401) 642-0080
Fax
(508) 923-9894
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3586 MA
Optometrist 152W00000X CODTG00688 RI Primary

Addresses

Primary practice location

620 George Washington Hwy
Target Optical
Lincoln, RI 02864-4293

Mailing address

54 Main St Ste 10
Lakeville, MA 02347-3622
Phone (508) 336-1199

Other practice location 1

934 Ashley Blvd
New Bedford, MA 02745-2410
Phone (508) 995-6000

Other identifiers 1

IdentifierTypeStateIssuer
110016321AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20200513000492 RI Practitioner - Optometry 4183806532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 George Washington Hwy
Lincoln, RI 02865-4293
Phone (401) 642-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3586MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye See Quality Eye Care, Inc. PastSince Sep 25, 2015 Accepting new patients
Westin Cohen OD PLLC Optometrist PastSince Feb 11, 2024 Accepting new patients

Organizations & group practices 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1174576987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 10",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023473622",
            "telephone_number": "508-336-1199",
            "fax_number": "508-923-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GEORGE WASHINGTON HWY",
            "address_2": "TARGET OPTICAL",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028644293",
            "telephone_number": "401-642-0080",
            "fax_number": "508-923-9894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 Ashley Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027452410",
            "country_code": "US",
            "telephone_number": "508-995-6000",
            "fax_number": "508-995-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LAWRENCE",
        "middle_name": "SUMNER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3586",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "CODTG00688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110016321A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.