Individual provider Active NPI

Alan R. Cohen, OD

  • Optometrist
  • Garden City, NY
National Provider Identifier
1366720542
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003246 Issued in NY
Practice address
Roosevlt Field Mall
630 Old Country Road
Garden City, NY 11530-3467
Phone
(516) 294-0011
Fax
(516) 294-2916
NPI assigned
Jul 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003246 NY Primary

Addresses

Primary practice location

Roosevlt Field Mall
630 Old Country Road
Garden City, NY 11530-3467

Mailing address

Roosevlt Field Mall
630 Old Country Road
Garden City, NY 11530-3467
Phone (516) 294-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1366720542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROOSEVLT FIELD MALL",
            "address_2": "630 OLD COUNTRY ROAD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303467",
            "telephone_number": "516-294-0011",
            "fax_number": "516-294-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROOSEVLT FIELD MALL",
            "address_2": "630 OLD COUNTRY ROAD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303467",
            "telephone_number": "516-294-0011",
            "fax_number": "516-294-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALAN",
        "middle_name": "R.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.