Organization Active NPI

Cohen'S Fashion Optical

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1457566648
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3651 Issued in MA
Legal business name
COHEN'S FASHION OPTICAL
Practice address
100 Cambridgeside PL
Suite # 114
Cambridge, MA 02141-2218
Phone
(617) 577-7660
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denise Snow Williams, O.D
Title
Optometrist
Phone
(617) 577-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3651 MA Primary

Addresses

Primary practice location

100 Cambridgeside PL
Suite # 114
Cambridge, MA 02141-2218

Mailing address

100 Cambridgeside PL
Suite # 114
Cambridge, MA 02141-2218

Other identifiers 1

IdentifierTypeStateIssuer
0338150MedicaidMA

National Provider Directory

National Provider Directory

Locations

100 Cambridgeside Pl
Ste 114
Cambridge, MA 02141
Phone (617) 577-7660

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457566648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMBRIDGESIDE PL",
            "address_2": "SUITE # 114",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMBRIDGESIDE PL",
            "address_2": "SUITE # 114",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021412218",
            "telephone_number": "617-577-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN'S FASHION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNOW WILLIAMS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "617-577-7660",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0338150",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.