Individual provider Active NPI

Charlotte Millan Cohea, OPTICIAN

  • Optician
  • Norfolk, VA
National Provider Identifier
1649542333
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1101003010 Issued in VA
Practice address
801 Boush St
Suite a-1
Norfolk, VA 23510-1510
Phone
(757) 622-7804
Fax
(757) 625-0697
NPI assigned
Jan 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 1101003010 VA Primary

Addresses

Primary practice location

801 Boush St
Suite a-1
Norfolk, VA 23510-1510

Mailing address

801 Boush St
Suite a-1
Norfolk, VA 23510-1510
Phone (757) 622-7804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1101003010VAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1649542333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BOUSH ST",
            "address_2": "SUITE A-1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101510",
            "telephone_number": "757-622-7804",
            "fax_number": "757-625-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BOUSH ST",
            "address_2": "SUITE A-1",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101510",
            "telephone_number": "757-622-7804",
            "fax_number": "757-625-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEA",
        "first_name": "CHARLOTTE",
        "middle_name": "MILLAN",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101003010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.