Organization Active NPI

Cohen Eye Associates Limited

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1295872026
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R6B36 Issued in MO
Legal business name
COHEN EYE ASSOCIATES LIMITED
Practice address
4921 Parkview Place
Ste 14F
Saint Louis, MO 63110-1032
Phone
(314) 361-5003
Fax
(314) 361-2686
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Bruce H Cohen, M.D.NPI 1053355107
Title
President
Phone
(314) 361-5003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T02676 MO
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X R6B36 MO Primary

Addresses

Primary practice location

4921 Parkview Place
Ste 14F
Saint Louis, MO 63110-1032

Mailing address

4921 Parkview Place
Ste 14F
Saint Louis, MO 63110-1032
Phone (314) 361-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116000332 MO Part B Supplier - Clinic/Group Practice 0547224933 Receives reassigned benefits from 3 practitioners
Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2044550Cohen Eye Associates, Limited4921 Parkview Place, Suite 14F, Saint Louis, MO 63110Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

4921 Parkview Pl
Ste 14F
Saint Louis, MO 63110
Phone (314) 361-5003

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1295872026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PLACE",
            "address_2": "STE 14F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-361-5003",
            "fax_number": "314-361-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PLACE",
            "address_2": "STE 14F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-361-5003",
            "fax_number": "314-361-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN EYE ASSOCIATES LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-361-5003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02676",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R6B36",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.