Individual provider Active NPI

Steven J Cohn, OD

  • Optometrist
  • Drexel Hill, PA
National Provider Identifier
1225082597
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000152 Issued in PA
Practice address
4998 State Road
Suite 4
Drexel Hill, PA 19026-4626
Phone
(610) 259-5100
Fax
(610) 259-4133
NPI assigned
May 20, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000152 PA Primary

Addresses

Primary practice location

4998 State Road
Suite 4
Drexel Hill, PA 19026-4626

Mailing address

4998 State Rd
Suite 4
Drexel Hill, PA 19026-4626
Phone (610) 259-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101109000114 PA Practitioner - Optometry 9638364391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Media Eye Care LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients

Locations

35 E State St
Media, PA 19063
Phone (610) 220-3954

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1225082597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 STATE RD",
            "address_2": "SUITE 4",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264626",
            "telephone_number": "610-259-5100",
            "fax_number": "610-259-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 STATE ROAD",
            "address_2": "SUITE 4",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264626",
            "telephone_number": "610-259-5100",
            "fax_number": "610-259-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.