Individual provider Active NPI

Coral Cohen, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1205282589
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5110 Issued in FL
Practice address
9231 W Flagler St
Miami, FL 33174-2408
Phone
(305) 779-2723
Fax
(305) 553-3431
NPI assigned
May 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5110 FL Primary

Addresses

Primary practice location

9231 W Flagler St
Miami, FL 33174-2408

Mailing address

643 Hibiscus Dr
Hallandale Beach, FL 33009-6511
Phone (954) 696-1902

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address coral.cohenod.p19@direct.eyefl.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161114000204 FL Practitioner - Optometry 7719266816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Florida LLPGroup PAC ID 1254414675, 42 clinicians

Practice addresses (Care Compare)

3419 Johnson St
Hollywood, FL 33021-5420
Phone (954) 989-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5110FLMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye C Optometry, Inc. Optometrist CurrentSince May 16, 2022 Accepting new patients
Advanced Vision Care Inc Optometrist CurrentSince Oct 11, 2019 Accepting new patients
Hopen and Wolfe MD PA PastSince Sep 13, 2016 Accepting new patients

Locations

2873 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 983-4969

157 NW 136th Ave
Plantation, FL 33325
Phone (954) 851-9944

157 NW 136th Ave
Ste 157
Plantation, FL 33325
Phone (954) 851-9944

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1205282589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 HIBISCUS DR",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096511",
            "telephone_number": "954-696-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9231 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742408",
            "telephone_number": "305-779-2723",
            "fax_number": "305-553-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CORAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "coral.cohenod.p19@direct.eyefl.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3419 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.