Individual provider Active NPI

Jeffrey Lucash Cohn, O.D.

  • Optometrist
  • Auburn, MA
National Provider Identifier
1316292162
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4908 Issued in MA
Practice address
48 Auburn St.
Auburn, MA 01501-2438
Phone
(508) 832-9392
Fax
(805) 832-2497
NPI assigned
Jul 18, 2012
Last updated
Jul 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4908 MA Primary

Addresses

Primary practice location

48 Auburn St.
Auburn, MA 01501-2438

Mailing address

48 Auburn St
Auburn, MA 01501-2438
Phone (508) 832-9392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121203000108 MA Practitioner - Optometry 7719139583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suzanne Lucash OD PLLCGroup PAC ID 8921264052, 5 clinicians
Michael J Cohn OD PLLCGroup PAC ID 5991961021, 3 clinicians

Practice addresses (Care Compare)

4 Lyman St
Westboro, MA 01581-1419
Phone (508) 366-7461

48 Auburn St
Suite 5
Auburn, MA 01501-2438
Phone (508) 832-9392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4908MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Lucash O.D. PLLC Optometrist CurrentSince Jul 18, 2012 Accepting new patients
Home Care Solutions, Inc. Past Accepting new patients

Locations

4 Lyman St
Westborough, MA 01581
Phone (508) 366-1766

Organizations & group practices 3

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1316292162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AUBURN ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012438",
            "telephone_number": "508-832-9392",
            "fax_number": "508-832-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 AUBURN ST.",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012438",
            "telephone_number": "508-832-9392",
            "fax_number": "805-832-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHN",
        "first_name": "JEFFREY",
        "middle_name": "LUCASH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MA

Sources for this page

Verify at the official NPI Registry.