Individual provider Active NPI

Beth H Kohn, O.D.

  • Optometrist
  • Salem, NH
National Provider Identifier
1245213156
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NH620 Issued in NH
Practice address
223 Main St
Salem, NH 03079-3186
Phone
(603) 893-8628
Fax
(603) 893-4076
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NH620 NH Primary

Addresses

Primary practice location

223 Main St
Salem, NH 03079-3186

Mailing address

223 Main St
Salem, NH 03079-3186
Phone (603) 893-8628

Other identifiers 1

IdentifierTypeStateIssuer
30008308MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20051220000648 NH Practitioner - Optometry 3577585405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLB Eye Care PLLCGroup PAC ID 6204303936, 2 clinicians

Practice addresses (Care Compare)

223 Main St
Salem, NH 03079-3186
Phone 60389386285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH620NHMDOptometrist
0620NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acuity Eyecare, LLC Optometrist CurrentSince Sep 1, 1995 Accepting new patients

Locations

223 Main St
Salem, NH 03079
Phone (603) 893-4076

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1245213156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793186",
            "telephone_number": "603-893-8628",
            "fax_number": "603-893-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030793186",
            "telephone_number": "603-893-8628",
            "fax_number": "603-893-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "BETH",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008308",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.