Active NPI
Lawrence Sumner Cohen, O.D.
- Optometrist
- Lincoln, RI
National Provider Identifier
1174576987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CODTG00688
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110016321A | Medicaid | MA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3586 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye See Quality Eye Care, Inc. | Past | Accepting new patients | |
| Westin Cohen OD PLLC | Optometrist | Past | 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.
-
- Optometrist
- Lincoln, RI
- NPI 1588033690
-
- Optician
- New Bedford, MA
- NPI 1356461776
-
- Optometrist
- Mansfield, MA
- NPI 1225891930
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.