Organization Active NPI

Harold L. Cohen, M.D., LLC

Doing business as Ophthalmology Associates of Bloomington

  • Ophthalmology Physician
  • Bloomington, IN
National Provider Identifier
1205902772
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HAROLD L. COHEN, M.D., LLC
Doing business as
Ophthalmology Associates of Bloomington
Practice address
2901 S McIntire Dr
Bloomington, IN 47403-4209
Phone
(812) 332-1401
Fax
(812) 332-3062
NPI assigned
Nov 28, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Harold Lane Cohen, MD
Title
Member-Physician
Phone
(812) 332-1401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2901 S McIntire Dr
Bloomington, IN 47403-4209

Mailing address

2901 S McIntire Dr
Bloomington, IN 47403-4209
Phone (812) 332-1401

Other identifiers 1

IdentifierTypeStateIssuer
200519570MedicaidIN

Other names 1

  • Ophthalmology Associates of Bloomington Doing business as

National Provider Directory

National Provider Directory

Locations

811 W 2nd St
Bloomington, IN 47403
Phone (812) 332-1401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1205902772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S MCINTIRE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034209",
            "telephone_number": "812-332-1401",
            "fax_number": "812-332-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S MCINTIRE DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034209",
            "telephone_number": "812-332-1401",
            "fax_number": "812-332-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD L. COHEN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "MEMBER-PHYSICIAN",
        "authorized_official_telephone_number": "812-332-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200519570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophthalmology Associates of Bloomington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.