NPIMap

Organization Active NPI

Michael J Cohn O.D. PLLC

  • Optometrist
  • Auburn, MA
National Provider Identifier
1336406453
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2658 Issued in MA
Legal business name
MICHAEL J COHN O.D. PLLC
Practice address
48 Auburn Street
Auburn, MA 01501
Phone
(508) 832-9392
Fax
(508) 832-2497
NPI assigned
Apr 13, 2012
Last updated
Apr 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Authorized official

Name
Dr. Michael J Cohn, O.D.NPI 1548377393
Title
Owner Optometrist
Phone
(508) 832-9392

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2658 MA Primary

Addresses

Primary practice location

48 Auburn Street
Auburn, MA 01501

Mailing address

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

Other names 1

  • Michael J Cohn Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000306 MA Part B Supplier - Clinic/Group Practice 5991961021 Receives reassigned benefits from 5 practitioners
Practice locations: Auburn, MA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1336406453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AUBURN STREET",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "01501",
            "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 STREET",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "01501",
            "telephone_number": "508-832-9392",
            "fax_number": "508-832-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J COHN O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "COHN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "508-832-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael J Cohn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.