Individual provider Active NPI

Alfred Phillip Cohen, OD

  • Optometrist
  • Merrick, NY
National Provider Identifier
1265647671
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT0028321 Issued in NY
Practice address
2169 Merrick Rd
Everything Optical for Less, Inc.
Merrick, NY 11566-4720
Phone
(516) 223-1616
Fax
(516) 223-8590
NPI assigned
May 11, 2007
Last updated
May 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT0028321 NY Primary

Addresses

Primary practice location

2169 Merrick Rd
Everything Optical for Less, Inc.
Merrick, NY 11566-4720

Mailing address

848 Madeira Blvd
Melville, NY 11747
Phone (631) 846-4224

Other identifiers 1

IdentifierTypeStateIssuer
00420219MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090427000365 NY Practitioner - Optometry 5799833968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT0028321NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Everything Optical for Less, Inc. Optometrist CurrentSince Mar 18, 2009 Accepting new patients

Locations

2169 Merrick Rd
Merrick, NY 11566
Phone (516) 223-1616

3450 Long Beach Rd
Oceanside, NY 11572
Phone (516) 678-1616

Organizations & group practices 1

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1265647671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 MADEIRA BLVD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "631-846-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 MERRICK RD",
            "address_2": "EVERYTHING OPTICAL FOR LESS, INC.",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664720",
            "telephone_number": "516-223-1616",
            "fax_number": "516-223-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALFRED",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0028321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00420219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.