Nicole Kohan, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NICOLE KOHAN, O.D., INC.

Doing business as

Mountain Eyes Optometric Center

Practice address

944 W Foothill Blvd
Upland, CA 91786-3757

Phone

(909) 982-3040

NPI assigned

Jul 3, 2020

Last updated

Jul 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicole Kohan, O.D.NPI 1093109738

Title

Optometrist / Owner

Phone

(714) 328-4159

Specialties & licenses 1

Addresses

Other names 1

• Mountain Eyes Optometric Center Doing business as

Locations

Practitioners 1

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.

• Nicole Ilanah Kohan, OD

  • Optometrist
  • Claremont, CA
  • NPI 1093109738
  Authorized official Same address or phone

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1609493824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9798 FOOTHILL BLVD STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303692",
            "telephone_number": "714-328-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863757",
            "telephone_number": "909-982-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE KOHAN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "KOHAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST / OWNER",
        "authorized_official_telephone_number": "714-328-4159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Eyes Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Nguyen
• Tamuyen Nguyen, M.D.
• Tan Khac Nguyen, M.D.
• Pamela Nickell
• Nicolas Transito DDS, Inc (Lupita Quality Dental)
• Jessica Nicolle
• Nigoghosian & Nigoghosian DDS Inc
• Siavash Nikkhou, DC., MS., QME
• Holly Lynn Nikodym, FNP
• Nina Chan, M.D., Inc

• Optometrist in Upland, CA
• Providers in Upland, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.