Individual provider Active NPI

Allan N Cohen, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1417095878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003729 Issued in NY
Practice address
126 University PL
New York, NY 10003-4555
Phone
(212) 260-2700
Fax
(212) 780-9271
NPI assigned
Feb 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003729 NY Primary

Addresses

Primary practice location

126 University PL
New York, NY 10003-4555

Mailing address

1609 215TH St
Bayside, NY 11360-1226
Phone (212) 260-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130321000595 NY Practitioner - Optometry 6901041995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optyx LLCGroup PAC ID 6406207737, 10 clinicians

Practice addresses (Care Compare)

7947 Jericho Tpke
Unit a
Woodbury, NY 11797-1264
Phone (516) 921-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optyx LLC Optometrist CurrentSince Apr 10, 2024 Accepting new patients

Locations

312 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 336-5661

10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499

1092 Route 112
Port Jefferson Station, NY 11776
Phone (631) 474-3937

1229 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-2220

7947 Jericho Tpke
Unit A
Woodbury, NY 11797
Phone (516) 921-2040

Organizations & group practices 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417095878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 215TH ST",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601226",
            "telephone_number": "212-260-2700",
            "fax_number": "212-780-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 UNIVERSITY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034555",
            "telephone_number": "212-260-2700",
            "fax_number": "212-780-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALLAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.