Jeffrey Cohen, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14338 Issued in CA

Legal business name

JEFFREY COHEN, O.D., INC.

Practice address

1555 Simi Town Center Way Ste 575
Simi Valley, CA 93065-0535

Phone

(805) 577-0255

Fax

(805) 526-4954

NPI assigned

Mar 30, 2018

Last updated

Mar 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Cohen, O.D.NPI 1104051630

Title

Owner

Phone

(954) 661-6553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Michael Cohen, O.D.

  • Optometrist
  • Sherman Oaks, CA
  • NPI 1104051630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1245735257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 LICIA PL",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651544",
            "telephone_number": "954-661-6553",
            "fax_number": "805-526-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SIMI TOWN CENTER WAY STE 575",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650535",
            "telephone_number": "805-577-0255",
            "fax_number": "805-526-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY COHEN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-661-6553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.