Active NPI
Mark B Cohen, O.D.
- Optometrist
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG 41
- Practice address
- 4854 Londonderry Rd
Harrisburg, PA 17109-5207 - Phone
- (717) 657-3682
- NPI assigned
- Sep 26, 2005
- Reactivated
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG 41 | PA | Primary |
Addresses
Primary practice location
4854 Londonderry Rd
Harrisburg, PA 17109-5207
Mailing address
4034 Silver Charm CT
Harrisburg, PA 17112-1480
Phone (717) 319-2089
Other practice location 1
1130 S 19th St
Harrisburg, PA 17104-2912
Phone (717) 238-2531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4854 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-3682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG 41 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Resources of Central Pennsylvania | Current | Accepting new patients | |
| Capital Vision Center Inc | Optometrist | Current | Accepting new patients |
Locations
4854 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 652-7774
1130 S 19th St
Harrisburg, PA 17104
Phone (717) 238-2531
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Voluntary or Charitable Agency
- Harrisburg, PA
- NPI 1497947279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1649266602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4034 SILVER CHARM CT",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171121480",
"telephone_number": "717-319-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4854 LONDONDERRY RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095207",
"telephone_number": "717-657-3682"
}
],
"practiceLocations": [
{
"address_1": "1130 S 19th St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171042912",
"country_code": "US",
"telephone_number": "717-238-2531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "MARK",
"middle_name": "B",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG 41",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.