Individual provider Active NPI

Marjorie Ann Cohen, O.D.

  • Optometrist
  • Norwood, MA
National Provider Identifier
1669552238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA3210 Issued in MA
Practice address
38 Vanderbilt Ave
Norwood, MA 02062-5006
Phone
(781) 769-9955
Fax
(781) 769-2199
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MA3210 MA Primary

Addresses

Primary practice location

38 Vanderbilt Ave
Norwood, MA 02062-5006

Mailing address

38 Vanderbilt Ave
Norwood, MA 02062-5006
Phone (781) 769-9955

Other identifiers 4

IdentifierTypeStateIssuer
W16159OtherMABCBS
MA3210OtherMAEYEMED
1013503OtherMAAETNA
152870OtherMAHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000428 MA Practitioner - Optometry 7214944826 Reassigns benefits to 1 organization
Practice locations: Norwood, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marjorie a Cohen OD LLCGroup PAC ID 6406101435, 2 clinicians

Practice addresses (Care Compare)

38 Vanderbilt Ave
Norwood, MA 02062-5159
Phone (781) 769-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA3210MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie a Cohen OD LLC Optometrist CurrentSince May 8, 2018 Accepting new patients

Locations

38 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 269-5400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669552238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625006",
            "telephone_number": "781-769-9955",
            "fax_number": "781-769-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT AVE",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625006",
            "telephone_number": "781-769-9955",
            "fax_number": "781-769-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MARJORIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA3210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W16159",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MA3210",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1013503",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "152870",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.