Organization Active NPI

Lawrence S. Cohen, O.D., LLC

  • Optometrist
  • Lincoln, RI
National Provider Identifier
1588033690
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3586 Issued in MA
Legal business name
LAWRENCE S. COHEN, O.D., LLC
Practice address
620 George Washington Hwy
Lincoln, RI 02865-4293
Phone
(401) 642-0080
Fax
(508) 923-9894
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Dr. Lawrence S Cohen, ODNPI 1174576987
Title
Manager/Owner
Phone
(508) 699-5173

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3586 MA Primary

Addresses

Primary practice location

620 George Washington Hwy
Lincoln, RI 02865-4293

Mailing address

54 Main St Ste 10
Lakeville, MA 02347-3622
Phone (800) 853-8110

Other practice location 1

934 Ashley Blvd
New Bedford, MA 02745-2410
Phone (508) 995-6000

Other identifiers 1

IdentifierTypeStateIssuer
110104960AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513000313 RI Part B Supplier - Clinic/Group Practice 2365744695 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, RI

National Provider Directory

National Provider Directory

Locations

3003 Cranberry Hwy
Ste B
East Wareham, MA 02538
Phone (508) 295-2661

1009 S Washington St
North Attleboro, MA 02760
Phone (508) 643-2543

100 N Dartmouth Mall
North Dartmouth, MA 02747
Phone (508) 994-8092

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1588033690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MAIN ST STE 10",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023473622",
            "telephone_number": "800-853-8110",
            "fax_number": "508-923-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GEORGE WASHINGTON HWY",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654293",
            "telephone_number": "401-642-0080",
            "fax_number": "508-923-9894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 Ashley Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027452410",
            "country_code": "US",
            "telephone_number": "508-995-6000",
            "fax_number": "508-995-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAWRENCE S. COHEN, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "508-699-5173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110104960A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.