Cohron Family Optometric Services Inc – Optometrist

Key facts

NPI: 1275725152
Entity type: Organization (NPI type 2)
Primary specialty: Optometrist 152W00000X
License: 1372DT (KY)
Legal business name: COHRON FAMILY OPTOMETRIC SERVICES INC
Practice address: 112 E McMurtry Ave
Hartford, KY 42347-1634
Phone: (270) 298-7623
Fax: (270) 298-7624
NPI assigned: Aug 14, 2007
Organization subpart: No

Authorized official

Name: Dr. Wallce Todd Cohron, OD
Title: Optometrist
Phone: (270) 526-6800

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Wallace Todd Cohron, OD Optometrist · Morgantown, KY · NPI 1811977937

Medicare reassignment NPD KY · OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120224000429	KY	Part B Supplier - Clinic/Group Practice	8820119621	Receives reassigned benefits from 1 practitioner Practice locations: Hartford, KY; Morgantown, KY

National Provider Directory

Locations

112 E McMurtry Ave
Ste 101
Hartford, KY 42347
Phone (270) 298-7623

112 E McMurtry Ave
Hartford, KY 42347
Phone (270) 298-7225

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist Group: 193400000X SINGLE SPECIALTY GROUP	152W00000X	1372DT	KY	Yes

Addresses

Primary practice location

112 E McMurtry Ave
Hartford, KY 42347-1634

Mailing address

112 E McMurtry Ave
Hartford, KY 42347-1634
Phone (270) 298-7623

Other identifiers

Identifier	Type	State	Issuer
410032987	Other	KY	RAILROAD MEDICARE IN HART
410032989	Other	KY	RAILROAD MEDICARE IN MORG
02144	Other	KY	SPECTERA IN HARTFORD
77013720	Medicaid	KY
000000041898	Other	KY	BLUE CROSS/BLUE SHIELD
1524171	Other	KY	UMWA
000000041897	Other	KY	BLUE CROSS IN MORGANTOWN
02145	Other	KY	SPECTERA MORGANTOWN

Other names

Todd Cohron OD Doing business as

Other providers in Hartford, KY

Pamela Ann Cardwell, NP
Misty Maree Carroll, PHARM. D.
Shannon Denise Casey, APRN
Christian Care at Home - Pennyroyal, Limited
Crystal Clayton, M.S. CCC-SLP
Com-Care, Inc
Com-Care, Inc
Countryside Family Care
Ashley Davis, LCSW
Kristen Davis, APRN

All providers in Hartford, KY · Optometrist in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.